Active NPI
Rachel L Terrell-Boodram, LPC NCC
- Professional Counselor
- Sandy Springs, GA
National Provider Identifier
1013341205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 011234
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 011234 | GA | MD | Professional 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.