Individual provider Active NPI

Karis Rodila

  • Marriage & Family Therapist
  • Roswell, GA
National Provider Identifier
1922821669
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT002040 Issued in GA
Practice address
515 E Crossville Rd Ste 340
Roswell, GA 30075-5861
Phone
(678) 644-0407
NPI assigned
Nov 1, 2024
Last updated
Nov 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT002040 GA Primary

Addresses

Primary practice location

515 E Crossville Rd Ste 340
Roswell, GA 30075-5861

Mailing address

515 E Crossville Rd Ste 340
Roswell, GA 30075-5861
Phone (678) 644-0407

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

LicenseStateTypeSpecialty
MFT002040GAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Waystone Therapy LLC Marriage & Family Therapist CurrentSince Nov 3, 2024 Accepting new patients

Locations

515 E Crossville Rd
Ste 340
Roswell, GA 30075
Phone (678) 353-6778

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": "1730419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1922821669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E CROSSVILLE RD STE 340",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300755861",
            "telephone_number": "678-644-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E CROSSVILLE RD STE 340",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300755861",
            "telephone_number": "678-644-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODILA",
        "first_name": "KARIS",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT002040",
            "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 Nov 1, 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.

Verify at the official NPI Registry.