Individual provider Active NPI

Zoe Samira Wade, LPC

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1447717277
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC010806 Issued in GA
Practice address
6595 Roswell Rd Ste G6048
Atlanta, GA 30328-3152
Phone
(470) 652-0423
NPI assigned
Feb 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 010806 GA
Professional Counselor 101YP2500X LPC010806 GA Primary

Addresses

Primary practice location

6595 Roswell Rd Ste G6048
Atlanta, GA 30328-3152

Mailing address

310 Prestmoor PL SW
Atlanta, GA 30331-7655
Phone (404) 804-2825

Other practice location 1

310 Prestmoor Pl SW
Atlanta, GA 30331-7655
Phone (404) 804-2825

Other practice location 2

445 Winn Way
Decatur, GA 30030-1707
Phone (404) 294-3745

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

State licenses

LicenseStateTypeSpecialty
010806GAMDProfessional Counselor
LPC010806GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Redirect Life Counseling Inc Single Specialty CurrentSince Apr 20, 2025 Accepting new patients
Redirecting Life Services Counseling Center Professional PastSince Nov 1, 2020 Accepting new patients

Locations

6595 Roswell Rd
Ste G6048
Sandy Springs, GA 30328
Phone (470) 652-0423

Organizations & group practices 2

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": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1447717277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 PRESTMOOR PL SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303317655",
            "telephone_number": "404-804-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6595 ROSWELL RD STE G6048",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283152",
            "telephone_number": "470-652-0423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 Prestmoor Pl SW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303317655",
            "country_code": "US",
            "telephone_number": "404-804-2825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "445 Winn Way",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300301707",
            "country_code": "US",
            "telephone_number": "404-294-3745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADE",
        "first_name": "ZOE",
        "middle_name": "SAMIRA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-28",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "010806",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC010806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.