Individual provider Active NPI

Richard David James Zambrowicz, LPC, NCC

  • Professional Counselor
  • Roswell, GA
National Provider Identifier
1659912558
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC011038 Issued in GA
Practice address
6200 Pattingham Dr
Roswell, GA 30075-3970
Phone
(678) 472-1544
NPI assigned
Oct 1, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC011038 GA Primary

Addresses

Primary practice location

6200 Pattingham Dr
Roswell, GA 30075-3970

Mailing address

6200 Pattingham Dr
Roswell, GA 30075-3970
Phone (678) 472-1544

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
LPC011038GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A-Z Therapy Inc. CurrentSince Sep 5, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1659912558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 PATTINGHAM DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753970",
            "telephone_number": "678-472-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 PATTINGHAM DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753970",
            "telephone_number": "678-472-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMBROWICZ",
        "first_name": "RICHARD",
        "middle_name": "DAVID JAMES",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-01",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC011038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.