Individual provider Active NPI

Rachel L Terrell-Boodram, LPC NCC

  • Professional Counselor
  • Sandy Springs, GA
National Provider Identifier
1013341205
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
011234 Issued in GA
Practice address
799 Hammond Dr Unit 125
Sandy Springs, GA 30328-5593
Phone
(678) 663-3477
NPI assigned
Aug 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 14042 CA
Professional Counselor 101YP2500X 011234 GA Primary

Addresses

Primary practice location

799 Hammond Dr Unit 125
Sandy Springs, GA 30328-5593

Mailing address

799 Hammond Dr Unit 125
Sandy Springs, GA 30328-5593
Phone (678) 663-3477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
011234GAMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1013341205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 HAMMOND DR UNIT 125",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303285593",
            "telephone_number": "678-663-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 HAMMOND DR UNIT 125",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303285593",
            "telephone_number": "678-663-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRELL-BOODRAM",
        "first_name": "RACHEL",
        "middle_name": "L",
        "credential": "LPC NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-25",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "14042",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "011234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.