MS. CHRISTINE J. MEZZA (LPC) – Professional Counselor, NPI 1114103686

MS. CHRISTINE J. MEZZA (LPC) is a healthcare provider. based in Dallas, Georgia. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. 4731 (GA). The NPI Number for MS. CHRISTINE J. MEZZA (LPC) is 1114103686

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MS. CHRISTINE J. MEZZA (LPC)
NPI
1114103686
Phone
(678) 978-0464
Address
2260 GOLD MINE RD
Enumeration Date
15 January 2008
Last Update Date
15 January 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7207127900
Graduation Year
2003 (23 years ago)
PAC ID
5991227233
Group Practice PAC ID
9537572490
Professional Enrollment ID
I20251210000013
Address ID
GA303261682AT3348XNEXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,200 MENTAL HEALTH COUNSELOR in GA

Provider Addresses for MS. CHRISTINE J. MEZZA (LPC)

  • 2260 GOLD MINE RD

    DALLAS, GA 30157

    Phone: (678) 978-0464

    Fax: (770) 505-3190

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-03-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 17 Medicare enrollment records; no due dates published yet.

Enrollment records

17

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250317002137IMental Health CounselorCOTBD
I20250409000688IMental Health CounselorMOTBD
I20250410000523IMental Health CounselorVATBD
I20250415001285IMental Health CounselorAZTBD
I20251210000013IMental Health CounselorGATBD
I20260224004003IMental Health CounselorFLTBD
I20260225000060IMental Health CounselorNCTBD
I20260226000187IMental Health CounselorKSTBD
I20260226000269IMental Health CounselorMITBD
I20260226000356IMental Health CounselorNETBD
I20260226002258IMental Health CounselorOKTBD
I20260226003673IMental Health CounselorTXTBD
I20260302002764IMental Health CounselorMNTBD
I20260303001601IMental Health CounselorWITBD
I20260304000033IMental Health CounselorUTTBD
I20260304000057IMental Health CounselorORTBD
I20260304000078IMental Health CounselorSDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30157)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537572490View full group profile
NameSpecialtyState
Marriage And Family TherapistCA
Clinical PsychologistCO
Clinical Social WorkerVA
Nurse PractitionerCO
P S Y C H I A T R YPA
Clinical Social WorkerCO
Clinical Social WorkerCO
Nurse PractitionerGA
Clinical Social WorkerCO
Nurse PractitionerTX

Reviews

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Frequently asked questions

How do I look up MS. CHRISTINE J. MEZZA (LPC) by NPI?
Use NPI 1114103686 when you need to reference MS. CHRISTINE J. MEZZA (LPC) in forms, claims, or directories.
Is MS. CHRISTINE J. MEZZA (LPC)'s NPI currently valid?
The extract we use shows MS. CHRISTINE J. MEZZA (LPC) as active.
Can you summarize MS. CHRISTINE J. MEZZA (LPC)'s specialty in plain language?
Clinically, the directory lists MS. CHRISTINE J. MEZZA (LPC) with Professional Counselor. Clinical services aligned with this taxonomy classification.
Where does public data place MS. CHRISTINE J. MEZZA (LPC)?
The snapshot lists Dallas, Georgia for MS. CHRISTINE J. MEZZA (LPC); download NPPES for the complete set.
What if Dallas, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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