Active NPI
Rosse Nelly Mesa
- Marriage & Family Therapist
- Marietta, GA
National Provider Identifier
1366766065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 001730
- Practice address
- 2645 Dallas Hwy SW Ste 230
Marietta, GA 30064-7578 - Phone
- (516) 531-3821
- NPI assigned
- Mar 24, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | 001533 | NY | |
| Marriage & Family Therapist | 106H00000X | 001730 | GA | Primary |
Addresses
Primary practice location
2645 Dallas Hwy SW Ste 230
Marietta, GA 30064-7578
Mailing address
2645 Dallas Hwy SW Ste 230
Marietta, GA 30064-7578
Phone (848) 466-1880
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
| License | State | Type | Specialty |
|---|---|---|---|
| 001730 | GA | MD | Optometrist |
| 001533 | NY | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746662400000",
"number": "1366766065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2645 DALLAS HWY SW STE 230",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300647578",
"telephone_number": "848-466-1880",
"fax_number": "848-466-1880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2645 DALLAS HWY SW STE 230",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300647578",
"telephone_number": "516-531-3821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESA",
"first_name": "ROSSE",
"middle_name": "NELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-24",
"last_updated": "2025-05-08",
"certification_date": "2025-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "001533",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "001730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.