Individual provider Active NPI

Ratima Guest-Smith, LPC

  • Professional Counselor
  • College Park, GA
National Provider Identifier
1619009503
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC004516 Issued in GA
Practice address
2245 Godby Rd
Suite 102
College Park, GA 30349-5059
Phone
(404) 513-3900
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC004516 GA Primary
Mental Health Counselor 101YM0800X 004516 GA

Addresses

Primary practice location

2245 Godby Rd
Suite 102
College Park, GA 30349-5059

Mailing address

3645 Marketplace Blvd
Suite 130-218
Atlanta, GA 30344-5747
Phone (404) 513-3900

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

LicenseStateTypeSpecialty
004516GAMDMental Health Counselor
LPC004516GAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1619009503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 MARKETPLACE BLVD",
            "address_2": "SUITE 130-218",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303445747",
            "telephone_number": "404-513-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 GODBY RD",
            "address_2": "SUITE 102",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303495059",
            "telephone_number": "404-513-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEST-SMITH",
        "first_name": "RATIMA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004516",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "004516",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 18, 2015; 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.