Active NPI
Warnecke Professional Counseling, PC
- Professional Counselor
- Marietta, GA
National Provider Identifier
1003066077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- WARNECKE PROFESSIONAL COUNSELING, PC
- Practice address
- 2551 Roswell Rd Ste 201
Marietta, GA 30062-4761 - Phone
- (678) 252-6115
- Fax
- (678) 399-1678
- NPI assigned
- Sep 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Tidwell
- Title
- Practice Administrator
- Phone
- (678) 252-6115
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
2551 Roswell Rd Ste 201
Marietta, GA 30062-4761
Mailing address
2551 Roswell Rd Ste 201
Marietta, GA 30062-4761
Phone (678) 252-6115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2551 Roswell Rd
Ste 201
Marietta, GA 30062
Phone (678) 252-6115
11755 Pointe Pl
Ste A1
Roswell, GA 30076
Phone (770) 667-1264
Practitioners & affiliated clinicians
Practitioners 18
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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Professional
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- NPI 1225711054
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775174400000",
"number": "1003066077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2551 ROSWELL RD STE 201",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300624761",
"telephone_number": "678-252-6115",
"fax_number": "678-399-1678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2551 ROSWELL RD STE 201",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300624761",
"telephone_number": "678-252-6115",
"fax_number": "678-399-1678"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WARNECKE PROFESSIONAL COUNSELING, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-25",
"last_updated": "2026-04-03",
"certification_date": "2026-04-03",
"status": "A",
"authorized_official_last_name": "TIDWELL",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "678-252-6115"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.