Active NPI
Baobab Counseling Center
- Social Worker
- Roswell, GA
National Provider Identifier
1558947325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275093437 | Other | GA | NPI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | baobabcounselingcenter.com |
National Provider Directory
National Provider DirectoryLocations
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.