Active NPI
Susan Rachelle Winfield, L.P.C.
- Professional Counselor
- College Park, GA
National Provider Identifier
1437354396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC002594
- Practice address
- 1720 Phoenix Blvd
Suite 540
College Park, GA 30349-5594 - Phone
- (770) 909-9500
- Fax
- (770) 909-9600
- NPI assigned
- Jun 19, 2007
- Last updated
- Oct 27, 2009
- 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 | LPC002594 | GA | Primary |
Addresses
Primary practice location
1720 Phoenix Blvd
Suite 540
College Park, GA 30349-5594
Mailing address
1044 Briarberry LN
Riverdale, GA 30296-7102
Phone (404) 305-8175
Other names 1
- Ms. Candee' Winfield
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240516001032 | GA | Practitioner - Marriage and Family Therapist | 5395188353 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC002594 | GA | MD | Professional Counselor |
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.
-
- Community/Behavioral Health Agency
- College Park, GA
- NPI 1265637136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256601600000",
"number": "1437354396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1044 BRIARBERRY LN",
"city": "RIVERDALE",
"state": "GA",
"postal_code": "302967102",
"telephone_number": "404-305-8175",
"fax_number": "404-305-8176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 PHOENIX BLVD",
"address_2": "SUITE 540",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "303495594",
"telephone_number": "770-909-9500",
"fax_number": "770-909-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINFIELD",
"first_name": "SUSAN",
"middle_name": "RACHELLE",
"name_prefix": "Ms.",
"credential": "L.P.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-19",
"last_updated": "2009-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC002594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CANDEE'",
"last_name": "WINFIELD",
"prefix": "MS.",
"credential": "L.P.C.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in College Park, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.