Individual provider Active NPI

Rachel Evans

  • Mental Health Counselor
  • Tucker, GA
National Provider Identifier
1215737887
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC015557 Issued in GA
Practice address
3754 Lavista Rd Ste 200
Tucker, GA 30084-5627
Phone
(770) 341-6237
NPI assigned
Mar 13, 2025
Last updated
Mar 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC015557 GA Primary

Addresses

Primary practice location

3754 Lavista Rd Ste 200
Tucker, GA 30084-5627

Mailing address

3754 Lavista Rd Ste 200
Tucker, GA 30084-5627
Phone (770) 341-6237

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
I20250521001010 GA Practitioner - Mental Health Counselor 1951820158 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling Services of Atlanta LLCGroup PAC ID 8820438716, 15 clinicians

Practice addresses (Care Compare)

4006 Holcomb Bridge Rd
Suite 210
Peachtree Corners, GA 30092-1814
Phone (678) 444-4505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC015557GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
TMC-Behavioral Health of West Georgia CurrentSince Sep 1, 2025 Accepting new patients
Counseling Services of Atlanta, LLC CurrentSince May 1, 2025 Accepting new patients

Locations

101 Doctors Dr
Carrollton, GA 30117
Phone (770) 812-8863

4006 Holcomb Bridge Rd
Ste 210
Peachtree Corners, GA 30092
Phone (678) 444-4505

101 Quartz Dr
Ste 103A
Villa Rica, GA 30180
Phone (770) 812-3598

101 Quartz Dr
Ste 103B
Villa Rica, GA 30180
Phone (770) 812-3580

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": "1741824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1215737887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3754 LAVISTA RD STE 200",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845627",
            "telephone_number": "770-341-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3754 LAVISTA RD STE 200",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845627",
            "telephone_number": "770-341-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "RACHEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC015557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

Verify at the official NPI Registry.