Counseling Center at Roswell LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

COUNSELING CENTER AT ROSWELL LLC

Practice address

610 Colonial Park Dr
Roswell, GA 30075-3746

Phone

(470) 704-5080

Fax

(470) 704-5081

NPI assigned

Jan 12, 2022

Organization subpart

No

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

Authorized official

Name

Joe Baldassarre, MBA

Title

Executive Administrator

Phone

(561) 318-4468

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chanya M Peters, APRN-BC

  • Nurse Practitioner
  • Marietta, GA
  • NPI 1629246038
  Medicare reassignment NPD
• Theresa Graham, LPC

  • Professional Counselor
  • Alpharetta, GA
  • NPI 1487387908
  Medicare reassignment
• Robert White, DNP, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Howell, NJ
  • NPI 1740372606

  GA

  Medicare reassignment
• Morgan Robert Poncy, MD

  • Internal Medicine Physician
  • Jupiter, FL
  • NPI 1891716056
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1538810338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27091",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071016791",
            "telephone_number": "470-704-5080",
            "fax_number": "470-704-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 COLONIAL PARK DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753746",
            "telephone_number": "470-704-5080",
            "fax_number": "470-704-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING CENTER AT ROSWELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-12",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "BALDASSARRE",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "561-318-4468",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cortes Chiropractic, LLC
• Evelyn Taylor Cortez, LPC
• Cosmetic Family Dentistry of Roswell
• Leslie Ann Cotney, PH.D.
• Sarah Cotton, LCSW
• Counseling Paths, LLC
• Kathy Anderson Courchene, L.P.C.
• Shauna Courtney, BCBA
• Amy C Cowhig, BCBA
• Kaitlyn Amanda Cox, MS, BCBA

• Substance Use Disorder Rehabilitation Clinic/Center in Roswell, GA
• Providers in Roswell, GA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.