NPIMap

Organization Active NPI

Orchard Human Services, Inc.

  • Mental Health Counselor
  • College Park, GA
National Provider Identifier
1609428689
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ORCHARD HUMAN SERVICES, INC.
Practice address
2725 Charlestown Dr
College Park, GA 30337-3909
Phone
(770) 686-0894
NPI assigned
Jul 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Authorized official

Name
Dr. Darleen Claire Wodzenski, PHDNPI 1629410907
Title
Director of Program Development
Phone
(770) 686-0894

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Developmental Disabilities Clinic/Center 261QD1600X

Addresses

Primary practice location

2725 Charlestown Dr
College Park, GA 30337-3909

Mailing address

231 Bentonville LN
Douglasville, GA 30134-6301
Phone (770) 686-0894

Other practice location 1

13010 Morris Road
Building 1 - Regus Suites
Alpharetta, GA 30004-3013
Phone (770) 686-0894

Other names 1

  • The Orchard Human Services, Inc. Other name

National Provider Directory

National Provider Directory

Locations

2725 Charlestown Dr
College Park, GA 30337
Phone (770) 686-0894

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1609428689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 BENTONVILLE LN",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301346301",
            "telephone_number": "770-686-0894",
            "fax_number": "770-660-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 CHARLESTOWN DR",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303373909",
            "telephone_number": "770-686-0894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13010 Morris Road",
            "address_2": "Building 1 - Regus Suites",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300043013",
            "country_code": "US",
            "telephone_number": "770-686-0894",
            "fax_number": "877-660-8884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORCHARD HUMAN SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "WODZENSKI",
        "authorized_official_first_name": "DARLEEN",
        "authorized_official_middle_name": "CLAIRE",
        "authorized_official_title_or_position": "DIRECTOR OF PROGRAM DEVELOPMENT",
        "authorized_official_telephone_number": "770-686-0894",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Orchard Human Services, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in College Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.