Organization Active NPI

Baobab Counseling Center, LLC

  • Clinical Social Worker
  • Roswell, GA
National Provider Identifier
1376129700
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BAOBAB COUNSELING CENTER, LLC
Practice address
800 Old Roswell Lakes Pkwy Ste 220
Roswell, GA 30076-1667
Phone
(678) 834-9242
NPI assigned
Mar 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Authorized official

Name
Rebekah Tchouta, LCSQ
Title
Owner, LCSW
Phone
(678) 834-9242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

800 Old Roswell Lakes Pkwy Ste 220
Roswell, GA 30076-1667

Mailing address

800 Old Roswell Lakes Pkwy Ste 220
Roswell, GA 30076-1667
Phone (678) 834-9242

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL baobabcounselingcenter

National Provider Directory

National Provider Directory

Locations

800 Old Roswell Lakes Pkwy
Ste 220
Roswell, GA 30076
Phone (404) 939-6891

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1376129700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 OLD ROSWELL LAKES PKWY STE 220",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761667",
            "telephone_number": "678-834-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 OLD ROSWELL LAKES PKWY STE 220",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761667",
            "telephone_number": "678-834-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAOBAB COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "TCHOUTA",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_title_or_position": "OWNER, LCSW",
        "authorized_official_telephone_number": "678-834-9242",
        "authorized_official_credential": "LCSQ"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "baobabcounselingcenter",
            "affiliation": "N",
            "address_1": "800 Old Roswell Lakes Pkwy Ste 220",
            "city": "Roswell",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300761667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.