Rosalyn Chambliss, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC003140 Issued in GA

Practice address

762 Stonebrook Dr
Lithonia, GA 30058-9037

Phone

(404) 867-3132

NPI assigned

Jan 11, 2023

Last updated

Jan 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, VA2 enrollments

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 2

Specialty

Mental Health Counselor

Education

Other, 1996

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Backpack Medical Group, P.C.

  • Clinical Social Worker
  • Elkridge, MD
  • NPI 1851177570

  GA, VA

  Medicare reassignment NPD
• Radiant Recovery & Counseling Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Minneapolis, MN
  • NPI 1699470450

  GA

  Medicare reassignment NPD
• Linnel Inc

  dba Backpack Healthcare Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Elkridge, MD
  • NPI 1932795044
  NPD (past)

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1750095949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 STONEBROOK DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300589037",
            "telephone_number": "404-867-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 STONEBROOK DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300589037",
            "telephone_number": "404-867-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBLISS",
        "first_name": "ROSALYN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC003140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CCS Rock Urgent Care & Family Practice LLC
• Celine's Family Service, Inc
• Centre of Panola Cosmetic & Family Dentistry P.C.
• Cep America LLC (Vituity)
• Patricia Chambers-Thomas
• Champion Healthcare and Nephrology, LLC
• Chaney Communication Services, Inc.
• Joyce Marie Chaney, CCC-SLP
• Gail Yvonne Charleston, DDS
• Lutrease D Chatman, M.S.W.

• Mental Health Counselor in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.