Radandel Community Counseling Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

RADANDEL COMMUNITY COUNSELING SERVICES

Practice address

1315 Milstead Rd NE
Conyers, GA 30012-3824

Phone

(470) 545-0860

Fax

(470) 300-7778

NPI assigned

Aug 17, 2020

Last updated

Apr 9, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ella Michelle Stephenson, RNNPI 1346734217

Title

Administrator

Phone

(470) 545-0860

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ella Michelle Stephenson, RN

  • Administrator Registered Nurse
  • Conyers, GA
  • NPI 1346734217
  Authorized official Same address or phone

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1689286130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 MILSTEAD RD NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123824",
            "telephone_number": "470-545-0860",
            "fax_number": "470-300-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 MILSTEAD RD NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123824",
            "telephone_number": "470-545-0860",
            "fax_number": "470-300-7778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1320 Main St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292013266",
            "country_code": "US",
            "telephone_number": "803-724-1391",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "445 Dexter Ave",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361043775",
            "country_code": "US",
            "telephone_number": "334-557-7042",
            "fax_number": "470-300-7778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RADANDEL COMMUNITY COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-17",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "ELLA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "470-545-0860",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003218438A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Farhana Quasem, MD
• Maria Lucia Quintal, P.T.
• R & R Enterprises Inc Al
• R Wayne Baker OD PC
• David S Rabin, M.D.
• Wedad Rahman, MD
• Saniyath Raimi Chitou, DO
• Wanda Marcella Rainey-Reed, LCSW
• Dorothy Rainey, MS APRN BC
• Kelly Y Rainey

• Mental Health Clinic/Center (Including Community Mental Health Center) in Conyers, GA
• Providers in Conyers, GA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.