Active NPI
Rachel Samantha Warsett, MS, LPC, NCC
- Professional Counselor
- Dunwoody, GA
National Provider Identifier
1588063259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC009654
- Practice address
- 1360 Center Dr Ste 200
Dunwoody, GA 30338-4135 - Phone
- (678) 825-2320
- NPI assigned
- Aug 19, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | APC004492 | GA | |
| Professional Counselor | 101YP2500X | LPC009654 | GA | Primary |
Addresses
Primary practice location
1360 Center Dr Ste 200
Dunwoody, GA 30338-4135
Mailing address
1360 Center Dr Ste 200
Dunwoody, GA 30338-4135
Phone (678) 825-2320
Other names 1
- Rachel Samantha Wolf
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 7, 2024 through May 7, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC004492 | GA | MD | Mental Health Counselor |
| LPC009654 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anxiety Specialists of Atlanta LLC | Current | Accepting new patients |
Locations
1360 Center Dr
Ste 200
Dunwoody, GA 30338
Phone (678) 825-2320
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Dunwoody, GA
- NPI 1083291512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607990400000",
"number": "1588063259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1360 CENTER DR STE 200",
"city": "DUNWOODY",
"state": "GA",
"postal_code": "303384135",
"telephone_number": "678-825-2320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 CENTER DR STE 200",
"city": "DUNWOODY",
"state": "GA",
"postal_code": "303384135",
"telephone_number": "678-825-2320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARSETT",
"first_name": "RACHEL",
"middle_name": "SAMANTHA",
"credential": "MS, LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-19",
"last_updated": "2020-12-15",
"certification_date": "2020-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "APC004492",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC009654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "WOLF",
"middle_name": "SAMANTHA",
"credential": "M.S., LPC, NCC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dunwoody, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.