Meredith Lynne Repasky, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT002081 Issued in GA

Practice address

707 Whitlock Ave SW Ste H10
Marietta, GA 30064-3098

Phone

(770) 759-0691

NPI assigned

Jan 21, 2021

Last updated

Jan 2, 2024By the provider in NPPES

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

Other names 1

• Meredith Lynne Ridgell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 2, 2024 through Jan 2, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1366032542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 WHITLOCK AVE SW STE H10",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643098",
            "telephone_number": "770-759-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 WHITLOCK AVE SW STE H10",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643098",
            "telephone_number": "770-759-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPASKY",
        "first_name": "MEREDITH",
        "middle_name": "LYNNE",
        "credential": "AMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-21",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT121322",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT002081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEREDITH",
            "last_name": "RIDGELL",
            "middle_name": "LYNNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kandon Price Render, PHARMD
• Renew Healthcare LLC
• Renewed You Counseling Services LLC
• Adam Renner, NCC
• Deanna Renz, DNP, CPNP, PMHNP-C
• Juan Sebastian Requena-Ferrer, DC
• Research Community Care of Georgia LLC
• Resiliency Therapy Services
• Resilient Vet (Resilient Vet Care)
• Stuart B Resnick, MD

• Marriage & Family Therapist in Marietta, GA
• Providers in Marietta, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.