Active NPI
Danice Wilson, PRACTITIONER, MED
- Community/Behavioral Health Agency
- Austell, GA
National Provider Identifier
1215339015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Practice address
- 3961 Floyd Rd
Suite 300158
Austell, GA 30106-8535 - Phone
- (678) 785-7284
- Fax
- (770) 438-7929
- NPI assigned
- Sep 23, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | GA | ||
| Community/Behavioral Health Agency | 251S00000X | MD | Primary | |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | GA | ||
| Community/Behavioral Health Agency | 251S00000X | GA | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | MD | ||
| Mental Health Counselor | 101YM0800X | MD | ||
| Pastoral Counselor | 101YP1600X | |||
| Pastoral Counselor | 101YP1600X | GA |
Addresses
Primary practice location
3961 Floyd Rd
Suite 300158
Austell, GA 30106-8535
Mailing address
9814 Spinnaker St
Cheltenham, MD 20623-1350
Phone (833) 551-7284
Other practice location 1
9814 Spinnaker St
Cheltenham, MD 20623-1350
Phone (833) 551-7284
Other names 1
- Danice Wilson-Bates
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
- Credentials
- Master of Education
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cobb County C.U.T.I.E.S, Inc. | Community/Behavioral Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Austell, GA
- NPI 1235531047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774396800000",
"number": "1215339015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9814 SPINNAKER ST",
"city": "CHELTENHAM",
"state": "MD",
"postal_code": "206231350",
"telephone_number": "833-551-7284",
"fax_number": "240-681-3877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3961 FLOYD RD",
"address_2": "SUITE 300158",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301068535",
"telephone_number": "678-785-7284",
"fax_number": "770-438-7929"
}
],
"practiceLocations": [
{
"address_1": "9814 Spinnaker St",
"address_purpose": "LOCATION",
"city": "Cheltenham",
"state": "MD",
"postal_code": "206231350",
"country_code": "US",
"telephone_number": "833-551-7284",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "DANICE",
"credential": "PRACTITIONER, MED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-23",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MD",
"license": null,
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "MD",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": null,
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "GA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANICE",
"last_name": "WILSON-BATES",
"credential": "CLINICIAN, MAED",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.