Individual provider Active NPI

Adam Powell

  • Mental Health Counselor
  • Woodstock, GA
National Provider Identifier
1700514171
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC012527 Issued in GA
Practice address
232 River Park North Dr
Woodstock, GA 30188-7834
Phone
(770) 282-7116
NPI assigned
Aug 12, 2022
Last updated
Aug 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC012527 GA Primary

Addresses

Primary practice location

232 River Park North Dr
Woodstock, GA 30188-7834

Mailing address

232 River Park North Dr
Woodstock, GA 30188-7834

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240123000929 VA Practitioner - Mental Health Counselor 4082066345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesterfield Family Guidance CenterGroup PAC ID 5799762712, 40 clinicians

Practice addresses (Care Compare)

11520 Nuckols Rd
Suite 102
Glen Allen, VA 23059-2558
Phone (804) 743-0960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC012527GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chesterfield Family Guidance Center CurrentSince Jan 9, 2024 Accepting new patients
Intuitive Counseling Associates LLC CurrentSince Aug 14, 2022 Accepting new patients

Locations

232 River Park North Dr
Woodstock, GA 30188
Phone (770) 282-7116

11520 Nuckols Rd
Ste 102
Glen Allen, VA 23059
Phone (434) 953-3664

6603 Irongate Sq
North Chesterfield, VA 23234

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1700514171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 RIVER PARK NORTH DR",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301887834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 RIVER PARK NORTH DR",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301887834",
            "telephone_number": "770-282-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "ADAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC012527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

Verify at the official NPI Registry.