MRS. MARY BLAYDES ALEXANDER (L.P.C.) – Professional Counselor, NPI 1225162555

MRS. MARY BLAYDES ALEXANDER (L.P.C.) is a healthcare provider. based in Dallas, Georgia. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials L.P.C.. They hold a License No. LPC003206 (GA). The NPI Number for MRS. MARY BLAYDES ALEXANDER (L.P.C.) is 1225162555

Main info

Female
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MARY BLAYDES ALEXANDER (L.P.C.)
NPI
1225162555
Phone
(770) 505-1431
Address
200 E MEMORIAL DR
Enumeration Date
16 March 2007
Last Update Date
30 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7705051431
Graduation Year
1995 (31 years ago)
PAC ID
9739539941
Professional Enrollment ID
I20240102000524
Address ID
GA301323811DA200XXDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,201 MENTAL HEALTH COUNSELOR in GA

Provider Addresses for MRS. MARY BLAYDES ALEXANDER (L.P.C.)

  • 200 E MEMORIAL DR

    SUITE 6

    DALLAS, GA 301323811

    Phone: (770) 505-1431

    Fax: (770) 505-1431

    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: 2024-01-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20240102000524IMental Health CounselorGATBD

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 30132)

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Reviews

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Frequently asked questions

Does MRS. MARY BLAYDES ALEXANDER (L.P.C.) have a public NPI I can cite?
Public records show MRS. MARY BLAYDES ALEXANDER (L.P.C.) under NPI 1225162555.
Is MRS. MARY BLAYDES ALEXANDER (L.P.C.)'s NPI status active today?
Active status means MRS. MARY BLAYDES ALEXANDER (L.P.C.)'s NPI record is not deactivated in the public file.
What does the directory say MRS. MARY BLAYDES ALEXANDER (L.P.C.) does?
Insurance directories may phrase it differently, but here MRS. MARY BLAYDES ALEXANDER (L.P.C.) maps to Professional Counselor. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MRS. MARY BLAYDES ALEXANDER (L.P.C.)?
MRS. MARY BLAYDES ALEXANDER (L.P.C.) is associated with Dallas, Georgia in the same public data insurers reference.
Who maintains MRS. MARY BLAYDES ALEXANDER (L.P.C.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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