Darleen Claire Wodzenski, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC011101 Issued in GA

Practice address

2725 Charlestown Dr
College Park, GA 30337-3909

Phone

(770) 686-0894

Fax

(877) 660-8884

NPI assigned

Jul 26, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL, GA, DC3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  DC, GA

  Medicare reassignment NPD
• Orchard Human Services, Inc.

  • Mental Health Counselor
  • College Park, GA
  • NPI 1609428689
  NPD Authorized official

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

{
    "created_epoch": "1374796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1629410907",
    "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": "877-350-3067"
        },
        {
            "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",
            "fax_number": "877-660-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WODZENSKI",
        "first_name": "DARLEEN",
        "middle_name": "CLAIRE",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-26",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "GA",
            "license": "MT002427",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC011101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.therapynotes.com/",
            "affiliation": "Y",
            "endpointDescription": "TherapyNotes.com",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Documentation",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Notes and Demographics",
            "address_1": "2725 Charlestown Dr",
            "city": "College Park",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303373909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in College Park, GA
• Providers in College Park, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.