Individual provider Active NPI

Renita Jain Patel, LPC

  • Professional Counselor
  • Johns Creek, GA
National Provider Identifier
1992665475
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC016156 Issued in GA
Practice address
512 Vaux Dr
Johns Creek, GA 30097-4202
Phone
(470) 223-0060
NPI assigned
Nov 17, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC016156 GA Primary
Mental Health Counselor 101YM0800X LPC016156 GA

Addresses

Primary practice location

512 Vaux Dr
Johns Creek, GA 30097-4202

Mailing address

512 Vaux Dr
Johns Creek, GA 30097-4202
Phone (470) 223-0060

Other practice location 1

600 W Peachtree St NW Ste 44
Atlanta, GA 30308-3607
Phone (888) 500-2067

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
LPC016156GAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1763337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1992665475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 VAUX DR",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300974202",
            "telephone_number": "470-223-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 VAUX DR",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300974202",
            "telephone_number": "470-223-0060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 W Peachtree St NW Ste 44",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303083607",
            "country_code": "US",
            "telephone_number": "888-500-2067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RENITA",
        "middle_name": "JAIN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-11-17",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC016156",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC016156",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.