Organization Active NPI

Baobab Counseling Center

  • Social Worker
  • Roswell, GA
National Provider Identifier
1558947325
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
BAOBAB COUNSELING CENTER
Practice address
800 Old Roswell Lakes Pkwy Ste S
Roswell, GA 30076-1675
Phone
(678) 834-9242
NPI assigned
Mar 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Authorized official

Name
Rebekah Tchouta, LCSW
Title
Director
Phone
(678) 834-9242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

800 Old Roswell Lakes Pkwy Ste S
Roswell, GA 30076-1675

Mailing address

800 Old Roswell Lakes Pkwy Ste 200
Roswell, GA 30076-1667
Phone (678) 834-9242

Other identifiers 1

IdentifierTypeStateIssuer
1275093437OtherGANPI

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL baobabcounselingcenter.com

National Provider Directory

National Provider Directory

Locations

800 Old Roswell Lakes Pkwy
Ste S
Roswell, GA 30076
Phone (678) 834-9242

800 Old Roswell Lakes Pkwy
Ste 200
Roswell, GA 30076
Phone (770) 294-5806

NPI Registry JSON

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1558947325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 OLD ROSWELL LAKES PKWY STE 200",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761667",
            "telephone_number": "678-834-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 OLD ROSWELL LAKES PKWY STE S",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761675",
            "telephone_number": "678-834-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAOBAB COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "TCHOUTA",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "678-834-9242",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1275093437",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "baobabcounselingcenter.com",
            "affiliation": "N",
            "address_1": "800 Old Roswell Lakes Pkwy Ste S",
            "city": "Roswell",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300761675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.