Individual provider Active NPI

Robyn Starks

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1700418530
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC013905 Issued in GA
Practice address
1017 Fayetteville Rd SE Ste B
Atlanta, GA 30316-2932
Phone
(404) 564-3422
NPI assigned
Feb 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 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 LPC013905 GA Primary

Addresses

Primary practice location

1017 Fayetteville Rd SE Ste B
Atlanta, GA 30316-2932

Mailing address

35 Middleton CT SE
Smyrna, GA 30080-8050
Phone (615) 881-0105

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL carelogic

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231208002726 GA Practitioner - Mental Health Counselor 9830548338 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

8800 Roswell Rd
Ste A135
Sandy Springs, GA 30350
Phone (617) 395-5806

1800 Lake Park Dr SE
Ste 123
Smyrna, GA 30080
Phone (404) 720-9800

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": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1700418530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 MIDDLETON CT SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300808050",
            "telephone_number": "615-881-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 FAYETTEVILLE RD SE STE B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303162932",
            "telephone_number": "404-564-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARKS",
        "first_name": "ROBYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC013905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "carelogic",
            "affiliation": "N",
            "endpointDescription": "Therapy notes system",
            "address_1": "1017 Fayetteville Rd SE Ste B",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303162932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.