Individual provider Active NPI

Nena Rybarczyk, LPC, NCC, CPCS, DCC

  • Professional Counselor
  • Cartersville, GA
National Provider Identifier
1124272471
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC006876 Issued in GA
Practice address
1124 N Tennessee St
Suite 103
Cartersville, GA 30120-7937
Phone
(770) 722-7040
NPI assigned
Nov 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC006876 GA Primary
Mental Health Counselor 101YM0800X LPC006876 GA
Behavior Analyst 103K00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X
Counselor 101Y00000X
Professional Counselor 101YP2500X 006876 GA
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

1124 N Tennessee St
Suite 103
Cartersville, GA 30120-7937

Mailing address

1124 N Tennessee St
Suite 103
Cartersville, GA 30120-7937
Phone (770) 722-7040

Other identifiers 1

IdentifierTypeStateIssuer
003131489AMedicaidGA

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
LPC006876GAMDProfessional Counselor
006876GAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1124272471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 N TENNESSEE ST",
            "address_2": "SUITE 103",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301207937",
            "telephone_number": "770-722-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 N TENNESSEE ST",
            "address_2": "SUITE 103",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301207937",
            "telephone_number": "770-722-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYBARCZYK",
        "first_name": "NENA",
        "name_prefix": "Ms.",
        "credential": "LPC, NCC, CPCS, DCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-13",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006876",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC006876",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "006876",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003131489A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.