Active NPI
Andresa Lester, CCMA
- Health Service Clinic/Center
- Douglasville, GA
National Provider Identifier
1609566074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Practice address
- 4902 W Lake Way
Douglasville, GA 30135-4524 - Phone
- (678) 861-7989
- NPI assigned
- May 10, 2023
- Last updated
- Sep 9, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Health Service Clinic/Center | 261QH0100X | Primary | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | T0628 | GA |
Addresses
Primary practice location
4902 W Lake Way
Douglasville, GA 30135-4524
Mailing address
3400 Chapel Hill Rd
Douglasville, GA 30135-1739
Phone (678) 861-7989
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T0628 | GA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angels Within LLC | Current | Accepting new patients | |
| Angels Within Wellness and Recovery LLC | Current | Accepting new patients | |
| Jbell Marie Labs LLC | Home Health | Current | Accepting new patients |
Locations
3400 Chapel Hill Rd
Douglasville, GA 30135
Phone (404) 973-8920
Organizations & group practices 3
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.
-
- Home Health Aide
- Winston, GA
- NPI 1093684078
-
- Substance Abuse Rehabilitation Facility
- Douglasville, GA
- NPI 1477434769
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Douglasville, GA
- NPI 1679336705
Home Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757376000000",
"number": "1609566074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 CHAPEL HILL RD",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301351739",
"telephone_number": "678-861-7989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4902 W LAKE WAY",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301354524",
"telephone_number": "678-861-7989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESTER",
"first_name": "ANDRESA",
"credential": "CCMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-10",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "GA",
"license": "T0628",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.