Individual provider Active NPI

Susan Rachelle Winfield, L.P.C.

  • Professional Counselor
  • College Park, GA
National Provider Identifier
1437354396
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC002594 Issued in GA
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, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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 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 Professional name

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
I20240516001032 GA Practitioner - Marriage and Family Therapist 5395188353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC002594GAMDProfessional 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.

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

Verify at the official NPI Registry.