Active NPI
Andrea Beth Brandt
- Mental Health Counselor
- Roswell, GA
National Provider Identifier
1740041441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- APC007168
- Practice address
- 102 Macy Dr
Roswell, GA 30076-6329 - Phone
- (678) 534-3824
- NPI assigned
- Jan 19, 2024
- Last updated
- Jan 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | APC007168 | GA | Primary |
Addresses
Primary practice location
102 Macy Dr
Roswell, GA 30076-6329
Mailing address
8735 Dunwoody PL Ste R
Atlanta, GA 30350-2995
Phone (561) 309-0999
Other practice location 1
3500 SE Morningside Blvd
Marina
Port St Lucie, FL 34952
Phone (561) 309-0999
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
| License | State | Type | Specialty |
|---|---|---|---|
| APC007168 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restoration Coaching of Atlanta, LLC | Current | Accepting new patients | |
| Restoration Counseling of Atlanta, LLC | Mental Health | Current | Accepting new patients |
Locations
102 Macy Dr
Roswell, GA 30076
Phone 6785343824 ext. 120
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.
-
- Professional Counselor
- Roswell, GA
- NPI 1285480004
-
- Mental Health Counselor
- Roswell, GA
- NPI 1851712640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705622400000",
"number": "1740041441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8735 DUNWOODY PL STE R",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303502995",
"telephone_number": "561-309-0999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 MACY DR",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300766329",
"telephone_number": "678-534-3824"
}
],
"practiceLocations": [
{
"address_1": "3500 SE Morningside Blvd",
"address_2": "MARINA",
"address_purpose": "LOCATION",
"city": "Port St Lucie",
"state": "FL",
"postal_code": "34952",
"country_code": "US",
"telephone_number": "561-309-0999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRANDT",
"first_name": "ANDREA",
"middle_name": "BETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-19",
"last_updated": "2024-01-19",
"certification_date": "2024-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "APC007168",
"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 Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.