Active NPI
William G Palmer
- Mental Health Counselor
- Woodstock, GA
National Provider Identifier
1235970658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 3380 Trickum Rd Ste 200
Woodstock, GA 30188-3680 - Phone
- (678) 534-3824
- NPI assigned
- Jun 3, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
3380 Trickum Rd Ste 200
Woodstock, GA 30188-3680
Mailing address
154 Laurel Way
Woodstock, GA 30188-3193
Phone (678) 551-8240
Other practice location 1
102 Macy Dr
Roswell, GA 30076-6329
Phone (678) 534-3824 ext. 124
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restoration Coaching of Atlanta, LLC | Past | Accepting new patients | |
| Restoration Counseling of Atlanta, LLC | Mental Health | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Professional Counselor
- Roswell, GA
- NPI 1285480004
-
- Mental Health Counselor
- Roswell, GA
- NPI 1851712640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1235970658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 LAUREL WAY",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301883193",
"telephone_number": "678-551-8240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3380 TRICKUM RD STE 200",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301883680",
"telephone_number": "678-534-3824"
}
],
"practiceLocations": [
{
"address_1": "102 Macy Dr",
"address_purpose": "LOCATION",
"city": "Roswell",
"state": "GA",
"postal_code": "300766329",
"country_code": "US",
"telephone_number": "678-534-3824 x124",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALMER",
"first_name": "WILLIAM",
"middle_name": "G",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-03",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.