Adrianne Crystle Robertson, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180012410 Issued in IL

Practice address

1301 Shiloh Rd NW Ste 450
Kennesaw, GA 30144-7152

Phone

(404) 426-3453

NPI assigned

Oct 2, 2019

Last updated

Oct 2, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• New Life Counseling, LLC

  dba Monarch Counseling

  • Clinical Social Worker
  • Kennesaw, GA
  • NPI 1437645785
  NPD (past)

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1568003499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 CARRICK CT",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301271852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SHILOH RD NW STE 450",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447152",
            "telephone_number": "404-426-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "ADRIANNE",
        "middle_name": "CRYSTLE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180012410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Theranest",
            "affiliation": "N",
            "endpointDescription": "used to document EHI and scheduling",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1301 Shiloh Rd NW Ste 450",
            "city": "Kennesaw",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301447152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erica Rivera-Armoreda, PA
• Melissa Rivera-Rodriguez
• Riverside Counseling and Personal Development, LLC
• Regina Frances Robbins, M.D.
• Kaylana Victoria Roberts
• Royleisha Nicole Robertson, OTR/L
• Suzanne Patricia Robertson, APRN
• Sophia Robinson-Harris, FNP
• Kelly Larue Robinson, M.ED. CCC-SLP
• Le Don Anthony Robinson, MD

• Mental Health Counselor in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.