DR. LISA D TAYLOR (PHD, TLP, LCSW) – Mental Health Counselor, NPI 1396973988
Mental Health Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,046 CLINICAL SOCIAL WORKER in GA
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Provider Addresses for DR. LISA D TAYLOR (PHD, TLP, LCSW)
262, 3rd Avenue, Ingleside, Avondale Estates, DeKalb County, Georgia, 30002, United States
AVONDALE ESTATES, GA 300021128
Phone: (678) 517-9984
Type: Location
PO BOX 652
AVONDALE ESTATES, GA 300020652
Phone: (678) 517-9984
Fax: (404) 292-9424
Type: Mailing
652 PO BOX
AVONDALE ESTATES, GA 30002
Phone: (678) 517-9984
Type: Location
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: 2009-09-01
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 |
|---|---|---|---|---|
| I20090901000652 | I | Clinical Social Worker | 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 30002)
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