Individual provider Active NPI

Meenal Patel, MA, LPC, LCPC

  • Mental Health Counselor
  • Roswell, GA
National Provider Identifier
1720506504
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178.012614 Issued in IL
Practice address
10800 Alpharetta Hwy
Suite 208, Box 404
Roswell, GA 30076-8511
Phone
(706) 483-0634
NPI assigned
Aug 31, 2017
Last updated
Jun 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC011597 GA
Mental Health Counselor 101YM0800X 178.012614 IL Primary

Addresses

Primary practice location

10800 Alpharetta Hwy
Suite 208, Box 404
Roswell, GA 30076-8511

Mailing address

915 Kenway Ave
Roswell, GA 30076-8511
Phone (706) 483-0634

Other practice location 1

915 Kenway Ave
Roswell, GA 30076-8511
Phone (706) 483-0634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 12, 2024 through Jan 12, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC011597GAMDMental Health Counselor
178.012614ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Wellness Counseling, LLC Mental Health CurrentSince Feb 1, 2023 Accepting new patients

Locations

10800 Alpharetta Hwy
Ste 208
Roswell, GA 30076
Phone (678) 319-0307

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, 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": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1720506504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 KENWAY AVE",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300768511",
            "telephone_number": "706-483-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 ALPHARETTA HWY",
            "address_2": "SUITE 208, BOX 404",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300768511",
            "telephone_number": "706-483-0634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 Kenway Ave",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300768511",
            "country_code": "US",
            "telephone_number": "706-483-0634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MEENAL",
        "name_prefix": "Ms.",
        "credential": "MA, LPC, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2025-06-02",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC011597",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.012614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.