Rebecca Lenae Cline

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

010224 Issued in GA

Practice address

102 Macy Dr
Roswell, GA 30076-6329

Phone

(678) 534-3824

NPI assigned

Feb 5, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 24, 2024 through Jan 24, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Restoration Coaching of Atlanta, LLC

  • Professional Counselor
  • Roswell, GA
  • NPI 1285480004

  Multi-Specialty

  NPD
• Restoration Counseling of Atlanta, LLC

  • Mental Health Counselor
  • Roswell, GA
  • NPI 1851712640
  NPD

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1144729146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "691 14TH ST NW UNIT 734",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303185624",
            "telephone_number": "269-816-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MACY DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300766329",
            "telephone_number": "678-534-3824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3495 Piedmont Bldg 11 Ste 708",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "30305",
            "country_code": "US",
            "telephone_number": "470-869-3980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1740 Peachtree St NW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303092335",
            "country_code": "US",
            "telephone_number": "678-534-3824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLINE",
        "first_name": "REBECCA",
        "middle_name": "LENAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-05",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401016465",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "010224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Cornish Cleary, PT, DPT, MTC
• Christopher Cleary
• Zachary Cline Egri, D.O.
• Christopher Charles Cline, CRNA
• Lina NMN Cline, CRNA
• Clinica Maternal de la Mujer
• Clinica Union
• Brent Anthony Clower, D.O.
• Co Roswell LLC
• Josiah Coatney, RBT

• Mental Health Counselor in Roswell, GA
• Providers in Roswell, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.