ELLEN H BERN (LPC) – Professional Counselor, NPI 1245332287
Professional Counselor
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,201 MENTAL HEALTH COUNSELOR in GA
Provider Addresses for ELLEN H BERN (LPC)
200 CRESCENT CENTRE PARK
DEPARTMENT OF BEHAVIORAL HEALTH
TUCKER, GA 30084
Phone: (770) 496-3609
Type: Location
Piedmont 9, 3495, Piedmont Road Northeast, Buckhead, Atlanta, Fulton County, Georgia, 30305, United States
NINE PIEDMONT CENTER
ATLANTA, GA 303051736
Phone: (404) 364-7000
Type: Mailing
3495 PIEDMONT RD NE
NINE PIEDMONT CENTER
ATLANTA, GA 303051717
Phone: (404) 364-7000
Type: Mailing
200 CRESCENT CENTER PKWY
DEPARTMENT OF BEHAVIORAL HEALTH
TUCKER, GA 300847047
Phone: (770) 496-3609
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2025-10-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20251014003342 | I | Mental Health Counselor | GA | TBD |
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.
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 30084)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.