Colleen Walsh, LPC, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

COLLEEN WALSH, LPC, LLC

Practice address

707 Whitlock Ave SW Ste C28
Marietta, GA 30064-4655

Phone

(404) 480-2038

NPI assigned

Jun 14, 2021

Organization subpart

No

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

Authorized official

Name

Colleen Walsh, M.ED., LPCNPI 1245777952

Title

Owner, Therapist

Phone

(770) 715-2106

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Colleen Elizabeth Walsh, LPC

  • Mental Health Counselor
  • Marietta, GA
  • NPI 1245777952
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720137600000",
    "number": "1992373120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480H S COBB DR SE # 258",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806958",
            "telephone_number": "404-480-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 WHITLOCK AVE SW STE C28",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300644655",
            "telephone_number": "404-480-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEEN WALSH, LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-14",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "770-715-2106",
        "authorized_official_credential": "M.ED., LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Michelle Coles, MS APC
• Jeffrey C Colier, AA
• Diane Coll, LPC, MT-BC
• Adrian Collazo, DC
• Colleen L Hagan LCSW Inc
• Thomas A Collentine, MD
• Alea Collier
• Kelsey Margaret Collier
• Sarah Kathryn Collier, LPC
• Shelley Christine Sisson Collier, LPC

• Mental Health Counselor in Marietta, GA
• Providers in Marietta, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.