Individual provider Active NPI

Katherine Garretson Darnell

  • Professional Counselor
  • Woodstock, GA
National Provider Identifier
1396109740
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC14762 Issued in GA
Practice address
405 Creekside LN
Woodstock, GA 30188-4107
Phone
(470) 798-0202
NPI assigned
Apr 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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 LPC14762 GA Primary

Addresses

Primary practice location

405 Creekside LN
Woodstock, GA 30188-4107

Mailing address

291 Little Pine Mountain Rd # 20695
Jasper, GA 30143-7811
Phone (678) 316-2191

Other practice location 1

PO Box 748465
Atlanta, GA 30374-8465
Phone (855) 284-7483

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240701000148 GA Practitioner - Mental Health Counselor 9032546213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

200 Westpark Dr
Suite 120
Peachtree City, GA 30269-1447
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC14762GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Breakthrough Counseling Center, LLC Professional Current Accepting new patients
Thrive Counseling LLC CurrentSince Jun 20, 2024 Accepting new patients
Mimi McDonald LLC PastSince Jun 12, 2022 Accepting new patients
Family Ties Inc. Past Accepting new patients

Locations

200 Westpark Dr
Ste 120
Peachtree City, GA 30269
Phone (678) 383-1210

8800 Roswell Rd
Ste A135
Sandy Springs, GA 30350
Phone (617) 395-5806

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1396109740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 LITTLE PINE MOUNTAIN RD # 20695",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301437811",
            "telephone_number": "678-316-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 CREEKSIDE LN",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884107",
            "telephone_number": "470-798-0202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 748465",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303748465",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DARNELL",
        "first_name": "KATHERINE",
        "middle_name": "GARRETSON",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC14762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

Verify at the official NPI Registry.