Active NPI
Teresa Marie Wren, L.P.C.
- Professional Counselor
- Atlanta, GA
National Provider Identifier
1861731986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC006067
- Practice address
- 1459 Oxford Rd NE Ste 301
Atlanta, GA 30307-1046 - Phone
- (404) 245-3824
- NPI assigned
- Feb 8, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0006067 | GA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0006067 | GA | |
| Professional Counselor | 101YP2500X | LPC006067 | GA | Primary |
Addresses
Primary practice location
1459 Oxford Rd NE Ste 301
Atlanta, GA 30307-1046
Mailing address
1459 Oxford Rd NE Ste 301
Atlanta, GA 30307-1046
Phone (404) 245-3824
Other names 1
- Teresa Wren Johnston
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 7, 2024 through Mar 7, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0006067 | GA | MD | Addiction (Substance Use Disorder) Counselor |
| LPC006067 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713225600000",
"number": "1861731986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1459 OXFORD RD NE STE 301",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303071046",
"telephone_number": "404-245-3824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1459 OXFORD RD NE STE 301",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303071046",
"telephone_number": "404-245-3824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WREN",
"first_name": "TERESA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-08",
"last_updated": "2024-04-16",
"certification_date": "2024-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "0006067",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "GA",
"license": "0006067",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC006067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TERESA",
"last_name": "JOHNSTON",
"middle_name": "WREN",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.