Individual provider Active NPI

Deanna Ruth Dennis, LPC

  • Professional Counselor
  • Cedartown, GA
National Provider Identifier
1124244983
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC005515 Issued in GA
Practice address
180 Wateroak Drive
Cedartown, GA 30125-2095
Phone
(706) 748-2225
Fax
(706) 749-0939
NPI assigned
Apr 18, 2007
Last updated
Aug 22, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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 LPC005515 GA Primary

Addresses

Primary practice location

180 Wateroak Drive
Cedartown, GA 30125-2095

Mailing address

1620 Hickory Street
Suite 404
Dalton, GA 30720-2312
Phone (706) 270-5033

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
I20240306003536 GA Practitioner - Mental Health Counselor 3577909068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Northrop Connection, LLCGroup PAC ID 6800104506, 8 clinicians

Practice addresses (Care Compare)

702 W Memorial Dr
Dallas, GA 30132-4122
Phone (678) 332-7955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Northrop Connection, LLC CurrentSince Feb 29, 2024 Accepting new patients
Highland Rivers CSB Past Accepting new patients

Locations

702 W Memorial Dr
Dallas, GA 30132
Phone (678) 332-7955

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1124244983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 HICKORY STREET",
            "address_2": "SUITE 404",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202312",
            "telephone_number": "706-270-5033",
            "fax_number": "706-370-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 WATEROAK DRIVE",
            "city": "CEDARTOWN",
            "state": "GA",
            "postal_code": "301252095",
            "telephone_number": "706-748-2225",
            "fax_number": "706-749-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "DEANNA",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC005515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedartown, GA

Sources for this page

Verify at the official NPI Registry.