Individual provider Active NPI

Heidi Sawyer

  • Mental Health Counselor
  • Roswell, GA
National Provider Identifier
1952172991
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
011410 Issued in GA
Practice address
102 Macy Dr
Roswell, GA 30076-6329
Phone
(678) 534-3824
NPI assigned
Jan 9, 2024
Last updated
Jan 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 69190 TX
Mental Health Counselor 101YM0800X 011410 GA Primary

Addresses

Primary practice location

102 Macy Dr
Roswell, GA 30076-6329

Mailing address

12165 Edenwilde Dr
Roswell, GA 30075-7150
Phone (863) 602-8762

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 23, 2024 through May 23, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
011410GAMDMental Health Counselor
69190TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Coaching of Atlanta, LLC CurrentSince Apr 28, 2024 Accepting new patients
Restoration Counseling of Atlanta, LLC Mental Health CurrentSince Apr 28, 2024 Accepting new patients

Locations

102 Macy Dr
Roswell, GA 30076
Phone (678) 534-3824

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.

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1952172991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12165 EDENWILDE DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300757150",
            "telephone_number": "863-602-8762"
        },
        {
            "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": [],
    "basic": {
        "last_name": "SAWYER",
        "first_name": "HEIDI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "69190",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "011410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.