Individual provider Active NPI

Rachel Samantha Warsett, MS, LPC, NCC

  • Professional Counselor
  • Dunwoody, GA
National Provider Identifier
1588063259
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC009654 Issued in GA
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

Updated by the provider on Dec 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
APC004492GAMDMental Health Counselor
LPC009654GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Anxiety Specialists of Atlanta LLC CurrentSince Apr 6, 2021 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.

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

Verify at the official NPI Registry.