Individual provider Active NPI

Kristie Garrett, LPC

  • Professional Counselor
  • Marietta, GA
National Provider Identifier
1063179638
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC003570 Issued in GA
Practice address
2050 Roswell Rd
Marietta, GA 30062-3811
Phone
(678) 784-4293
Fax
(678) 784-4294
NPI assigned
Nov 18, 2021
Last updated
Jan 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC003570 GA Primary

Addresses

Primary practice location

2050 Roswell Rd
Marietta, GA 30062-3811

Mailing address

3535 Roswell Rd Ste 63
Marietta, GA 30062-8828
Phone (404) 663-4412

Other practice location 1

3535 Roswell Rd Ste 63
Marietta, GA 30062-8828
Phone (404) 663-4412

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
LPC003570GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Warnecke Professional Counseling, PC Professional CurrentSince Jan 7, 2024 Accepting new patients
Garrett-Counseling LLC Professional CurrentSince Mar 24, 2024 Accepting new patients

Locations

2050 Roswell Rd
Marietta, GA 30062
Phone (678) 252-6115

3535 Roswell Rd
Ste 63
Marietta, GA 30062
Phone (404) 663-4412

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1063179638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 ROSWELL RD STE 63",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300628828",
            "telephone_number": "404-663-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 ROSWELL RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300623811",
            "telephone_number": "678-784-4293",
            "fax_number": "678-784-4294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3535 Roswell Rd Ste 63",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300628828",
            "country_code": "US",
            "telephone_number": "404-663-4412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "KRISTIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2024-01-03",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC003570",
            "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 Jan 3, 2024; 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.