Tatiana Nicole Pelt, MS, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC012147 Issued in GA

Practice address

11111 Houze Rd Ste 225
Roswell, GA 30076-5618

Phone

(770) 603-0123

NPI assigned

Jun 21, 2021

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

Medicare fee-for-service enrollment

Enrolled in GA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• North Atlanta Mental Health LLC

  • Clinical Psychologist
  • Johns Creek, GA
  • NPI 1376269738
  Medicare reassignment NPD
• Personal Recovery Network LLC

  • Psychiatry Physician
  • Stockbridge, GA
  • NPI 1881990869

  Professional

  Medicare reassignment NPD
• Thrive Counseling LLC

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300
  NPD (past)

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1982273330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 MEDLOCK BRIDGE RD STE 101",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300978455",
            "telephone_number": "404-383-8036",
            "fax_number": "404-745-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 HOUZE RD STE 225",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765618",
            "telephone_number": "770-603-0123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10700 Medlock Bridge Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "300978455",
            "country_code": "US",
            "telephone_number": "404-383-8036",
            "fax_number": "404-745-8565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELT",
        "first_name": "TATIANA",
        "middle_name": "NICOLE",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC012147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Therapy Services
• Pediatric Wellness Associates LLLP
• Laurie Fraser Peebles
• Mandi Peek, LPC
• Peewee P.T., Inc.
• Pelvic Health and Total Wellness
• Margaret Rossi Pendergrass, LCSW
• Peonies Aesthetics & Wellness Solutions, LLC
• Peoples Dental Center
• Claire-Michelle Perez, ATC, OPA-C

• Professional Counselor in Roswell, GA
• Providers in Roswell, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.