SHEREESE NICOLE PEARSALL – Professional Counselor, NPI 1528307394
Professional Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,201 MENTAL HEALTH COUNSELOR in GA
Provider Addresses for SHEREESE NICOLE PEARSALL
2175 LAKE ROYALE DR
RIVERDALE, GA 302961899
Phone: (770) 255-9941
Fax: (770) 629-4071
Type: Mailing
612 NORTHWIND LN
STOCKBRIDGE, GA 302816255
Phone: (404) 731-8930
Fax: (770) 629-4071
Type: Mailing
170 BASTILLE WAY
FAYETTEVILLE, GA 302147652
Phone: (770) 255-9941
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: 2025-07-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20240424002093 | I | Mental Health Counselor | CA | TBD |
| I20240722000282 | I | Mental Health Counselor | GA | TBD |
| I20250523001229 | I | Mental Health Counselor | CO | TBD |
| I20250703003630 | I | Mental Health Counselor | OR | 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 30296)
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