Rochelle Kallish, EDS, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1594 Issued in GA

Practice address

5435 Sugarloaf Pkwy
Suite 1103
Lawrenceville, GA 30043-7831

Phone

(770) 665-2641

NPI assigned

Aug 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174530703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5435 SUGARLOAF PKWY",
            "address_2": "SUITE 1103",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437831",
            "telephone_number": "770-665-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 SUGARLOAF PKWY",
            "address_2": "SUITE 1103",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437831",
            "telephone_number": "770-665-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLISH",
        "first_name": "ROCHELLE",
        "credential": "EDS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "1594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaiser Foundation Health Plan of Georgia, Inc.
• Kaiser Permanente
• Venkata Ravindra Kakarla, M.D
• Georgina Halvas Kalaitzidis, MD
• Sachin V Kalaria, RPH
• Salome Wanja Kamau, RN
• Stephen Mwenja Kamau, PHARMD
• Kamcare Management LLC
• Kate Kanda
• Brooke Kane, BCBA

• Professional Counselor in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.