Individual provider Active NPI

Wendy Renee' Storey

  • Counselor
  • Rome, GA
National Provider Identifier
1255796041
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
011576 Issued in GA
Practice address
105 Redmond Rd NW
Rome, GA 30165-1535
Phone
(706) 766-0496
NPI assigned
Dec 21, 2015
Last updated
Sep 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 011576 GA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X GA

Addresses

Primary practice location

105 Redmond Rd NW
Rome, GA 30165-1535

Mailing address

105 Redmond Rd NW
Rome, GA 30165-1535
Phone (706) 766-0496

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

State licenses

LicenseStateTypeSpecialty
011576GAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Living Stories Counseling LLC Addiction (Substance Use Disorder) Current Accepting new patients
Balanced Living Counseling Center PastSince Sep 13, 2020 Accepting new patients

Locations

105 Redmond Rd NW
Rome, GA 30165
Phone (706) 766-0496

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": "1450656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1255796041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 REDMOND RD NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651535",
            "telephone_number": "706-766-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 REDMOND RD NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651535",
            "telephone_number": "706-766-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOREY",
        "first_name": "WENDY",
        "middle_name": "RENEE'",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-21",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "011576",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.