Individual provider Active NPI

Rebecca Swan, LAPC

  • Professional Counselor
  • Marietta, GA
National Provider Identifier
1417588039
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
APC008832 Issued in GA
Practice address
833 Campbell Hill St NW Ste 350
Marietta, GA 30060-1163
Phone
(470) 795-7695
NPI assigned
Feb 1, 2020
Last updated
Jan 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Behavior Technician 106S00000X
Professional Counselor 101YP2500X APC008832 GA Primary

Addresses

Primary practice location

833 Campbell Hill St NW Ste 350
Marietta, GA 30060-1163

Mailing address

4416 Holly Springs Pkwy Apt 9404
Canton, GA 30115-7492

Other practice location 1

1155 Concord Rd SE Ste 220
Smyrna, GA 30080-4234
Phone (470) 666-2550 ext. 1

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
I20260618002093 GA Practitioner - Mental Health Counselor 5799257960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christopher Dennis MD PLLCGroup PAC ID 7416254990, 72 clinicians

Practice addresses (Care Compare)

11340 Lakefield Dr
Suite 200
Johns Creek, GA 30097-2456
Phone (888) 515-3834

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APC008832GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Micah's Promise, Inc. Current Accepting new patients
Personal Recovery Network LLC Professional CurrentSince Dec 13, 2022 Accepting new patients

Locations

833 Campbell Hill St NW
Ste 350
Marietta, GA 30060
Phone (404) 425-3339

Organizations & group practices 3

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": "1580515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1417588039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4416 HOLLY SPRINGS PKWY APT 9404",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301157492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 CAMPBELL HILL ST NW STE 350",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601163",
            "telephone_number": "470-795-7695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 Concord Rd SE Ste 220",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "GA",
            "postal_code": "300804234",
            "country_code": "US",
            "telephone_number": "470-666-2550 x1",
            "fax_number": "470-509-4895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWAN",
        "first_name": "REBECCA",
        "credential": "LAPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-01",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC008832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.