Organization Active NPI

Powell Psychotherapy, LLC

  • Clinical Social Worker
  • Decatur, GA
National Provider Identifier
1639026461
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
POWELL PSYCHOTHERAPY, LLC
Practice address
1896 Derrill Dr
Decatur, GA 30032-7001
Phone
(762) 235-9497
Fax
(762) 251-8881
NPI assigned
Mar 11, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Authorized official

Name
Ms. Kathy Elisabeth Powell, LCSWNPI 1821696626
Title
Owner
Phone
(762) 235-9497

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1896 Derrill Dr
Decatur, GA 30032-7001

Mailing address

520 W Ponce de Leon Ave Unit 14
Decatur, GA 30031-4100
Phone (762) 235-9497

National Provider Directory

National Provider Directory

Locations

520 W Ponce de Leon Ave
Unit 14
Decatur, GA 30031

Practitioners & affiliated clinicians

Practitioners 1

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": "1773187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1639026461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 W PONCE DE LEON AVE UNIT 14",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300314100",
            "telephone_number": "762-235-9497",
            "fax_number": "762-251-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1896 DERRILL DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300327001",
            "telephone_number": "762-235-9497",
            "fax_number": "762-251-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWELL PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-11",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "ELISABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "762-235-9497",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.