REBECCA LYNN COURSEY – Professional Counselor, NPI 1902212814

REBECCA LYNN COURSEY is a healthcare provider. based in Toccoa, Georgia. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. LPC003647 (GA). The NPI Number for REBECCA LYNN COURSEY is 1902212814

Main info

Female
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA LYNN COURSEY
NPI
1902212814
Phone
(706) 282-4542
Address
1763 FERNSIDE DR.
Enumeration Date
11 July 2014
Last Update Date
31 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4707957681
Graduation Year
1997 (29 years ago)
PAC ID
0244776680
Group Practice PAC ID
5092611384
Professional Enrollment ID
I20240722004090
Address ID
GA306050000AT745XXAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,201 MENTAL HEALTH COUNSELOR in GA

Provider Addresses for REBECCA LYNN COURSEY

  • 1763 FERNSIDE DR.

    AVITA COMMUNITY PARTNERS

    TOCCOA, GA 30577

    Phone: (706) 282-4542

    Type: Location

  • 145 HILL TOP DR

    JEFFERSON, GA 305496706

    Phone: (706) 367-0791

    Fax: (706) 886-6289

    Type: Mailing

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: 2024-07-22

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
I20240722004090IMental 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 30577)

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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: 5092611384View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerFL
-GA
-GA
Clinical PsychologistGA
Nurse PractitionerGA
Clinical PsychologistGA
Marriage And Family TherapistGA
P S Y C H I A T R YGA
Clinical PsychologistGA

Reviews

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Frequently asked questions

What is the standard ID for REBECCA LYNN COURSEY in the U.S.?
In the U.S., REBECCA LYNN COURSEY is identified by NPI 1902212814.
Does the public listing show REBECCA LYNN COURSEY as active?
REBECCA LYNN COURSEY's NPI record reflects an active status in NPPES.
Which specialty label fits REBECCA LYNN COURSEY?
NPPES ties REBECCA LYNN COURSEY to Professional Counselor in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is REBECCA LYNN COURSEY tied to Toccoa, Georgia?
If you are local to Toccoa, Georgia, REBECCA LYNN COURSEY may be relevant to your search.
Can I export REBECCA LYNN COURSEY's record?
You can download the official NPPES record; we summarize key fields for readability.

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