Ivanda Melinda Postell

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC005760 Issued in GA

Practice address

700 Churchill CT Ste 110
Woodstock, GA 30188-6880

Phone

(770) 284-9092

Fax

(678) 919-4082

NPI assigned

Jan 6, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  GA

  Medicare reassignment NPD
• Thriveworks Woodstock

  • Adult Mental Health Clinic/Center
  • Woodstock, GA
  • NPI 1053929786
  NPD Authorized official
• Esfahani Enterprises LLC

  dba Thriveworks

  • Counseling Psychologist
  • Woodstock, GA
  • NPI 1457901340

  Mental Health

  NPD

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1326636291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CHURCHILL CT STE 110",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301886880",
            "telephone_number": "770-284-9092",
            "fax_number": "678-919-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CHURCHILL CT STE 110",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301886880",
            "telephone_number": "770-284-9092",
            "fax_number": "678-919-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POSTELL",
        "first_name": "IVANDA",
        "middle_name": "MELINDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC005760",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC005760",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karthikeyan Ponnusamy, M.D.
• Christie Poole, MFT
• Mollie K Pope, M.ED., CCC-SLP
• Stephanie Micheline Pope, PT, DPT
• Walter Frank Porter III, MPT
• Hannah Puckett Potter, MD
• Adam Powell
• Hayley A Powell, COTA
• Lauren Powell, PSYD
• Adam Ryan Powers, PHARMD

• Mental Health Counselor in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.