Kelsey Wynn

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

4595 Towne Lake Pkwy Ste 130
Woodstock, GA 30189-5514

Phone

(770) 262-7943

NPI assigned

Apr 23, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelsey Scott Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Journey to Resilience Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Woodstock, GA
  • NPI 1740058031
  NPD (past)

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

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1811784697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4503 WOODHALL WAY NE",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300751997",
            "telephone_number": "470-216-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4595 TOWNE LAKE PKWY STE 130",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895514",
            "telephone_number": "770-262-7943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNN",
        "first_name": "KELSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "SCOTT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cassandra Elaine Wright, OTR
• Megan Carpenter Wright, FNP-C
• Sally Wu, PA-C
• Thomas James Wuerth, DC
• WWS Innovations, LLC
• Kanyan Xiao, M.D.
• Y Plastic and Reconstructive Surgery
• Shelley Yang
• Ferdinand Domenic Yates Jr., M.D.
• Kayla Louise Yearwood, RBT-21-183066

• Clinical Social Worker in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.