Individual provider Active NPI

Roseline Ngonde Ngoeh, CMHC

  • Mental Health Counselor
  • Mableton, GA
National Provider Identifier
1083278808
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
54 Nellie Brook Dr SW
Mableton, GA 30126-4435
Phone
(404) 984-0915
NPI assigned
Apr 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

54 Nellie Brook Dr SW
Mableton, GA 30126-4435

Mailing address

54 Nellie Brook Dr SW
Mableton, GA 30126-4435
Phone (404) 984-0915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250904003295 GA Practitioner - Marriage and Family Therapist 6800398306 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

54 Nellie Brook Dr SW
Mableton, GA 30126-4435

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Mental Health and Counseling Support Services LLC CurrentSince Aug 1, 2025 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince Oct 1, 2025 Accepting new patients
Elu LLC Mental Health PastSince May 1, 2023 Accepting new patients

Locations

3424 Peachtree Rd NE
Ste 2200
Atlanta, GA 30326
Phone (404) 436-2563

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1083278808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 NELLIE BROOK DR SW",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301264435",
            "telephone_number": "404-984-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 NELLIE BROOK DR SW",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301264435",
            "telephone_number": "404-984-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGOEH",
        "first_name": "ROSELINE",
        "middle_name": "NGONDE",
        "credential": "CMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-26",
        "last_updated": "2024-08-05",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mableton, GA

Sources for this page

Verify at the official NPI Registry.