Active NPI
Abby Leah Doubell
- Professional Counselor
- Roswell, GA
National Provider Identifier
1407546435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 40592
- Practice address
- 45 W Crossville Rd Ste 510
Roswell, GA 30075-2964 - Phone
- (770) 702-2982
- NPI assigned
- May 12, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 40592 | Primary |
Addresses
Primary practice location
45 W Crossville Rd Ste 510
Roswell, GA 30075-2964
Mailing address
130 Hembree Grove CT
Roswell, GA 30076-1267
Phone (470) 295-8642
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rise Therapy Center, LLC | Professional | Current | Accepting new patients |
Locations
45 W Crossville Rd
Ste 510
Roswell, GA 30075
Phone (770) 702-2982
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683849600000",
"number": "1407546435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 HEMBREE GROVE CT",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300761267",
"telephone_number": "470-295-8642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 W CROSSVILLE RD STE 510",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300752964",
"telephone_number": "770-702-2982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUBELL",
"first_name": "ABBY",
"middle_name": "LEAH",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-12",
"last_updated": "2023-05-12",
"certification_date": "2023-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": "40592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.