Individual provider Active NPI

Natalie Kohlhaas, MA, LPC, NCC, CPCS

  • Professional Counselor
  • Peachtree City, GA
National Provider Identifier
1386091411
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
003365 Issued in GA
Practice address
6000 Shakerag HL Ste 314
Peachtree City, GA 30269-6523
Phone
(404) 542-3502
NPI assigned
May 18, 2016
Last updated
Jun 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 003365 GA Primary

Addresses

Primary practice location

6000 Shakerag HL Ste 314
Peachtree City, GA 30269-6523

Mailing address

6000 Shakerag HL Ste 314
Peachtree City, GA 30269-6523
Phone (404) 542-3502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 22, 2024 through Jan 22, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
003365GAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Tree Senoia LLC CurrentSince Jun 18, 2023 Accepting new patients

Locations

6000 Shakerag Hl
Ste 314
Peachtree City, GA 30269
Phone (404) 542-3502

Organizations & group practices 1

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": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1386091411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 SHAKERAG HL STE 314",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302696523",
            "telephone_number": "404-542-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 SHAKERAG HL STE 314",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302696523",
            "telephone_number": "404-542-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLHAAS",
        "first_name": "NATALIE",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC, NCC, CPCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-18",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "003365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

Verify at the official NPI Registry.