REBUILDING LIVES COUNSELING AND CONSULTING LLC
NPI 1215288097
Counselor - Professional in Suwanee, GA

NPI Status: Active since September 20, 2012

Contact Information

4411 SUWANEE DAM RD
SUITE 635
SUWANEE, GA
ZIP 30024
Phone: (678) 835-8144

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  • Organization
  • Counselor
  • Professional
  • Accepts Insurance

About REBUILDING LIVES COUNSELING AND CONSULTING LLC

This page provides the complete NPI Profile along with additional information for Rebuilding Lives Counseling And Consulting Llc, a provider established in Suwanee, Georgia operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1215288097 assigned on September 2012. The practitioner's primary taxonomy code is 101YP2500X with license number 005762 (GA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Ms. Nedra Tamara Penland Lpc (Co- Founder)

NPI
1215288097
Provider Name
REBUILDING LIVES COUNSELING AND CONSULTING LLC
Entity Type
Organization
Location Address
4411 SUWANEE DAM RD SUITE 635 SUWANEE, GA 30024
Location Phone
(678) 835-8144
Mailing Address
POST OFFICE BOX 465873 35 PATTERSON RD. LAWRENCEVILLE, GA 30042
Mailing Phone
(678) 835-8144
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-20-2012
Last Update Date
12-05-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
005762
License State
GA

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • SoloCare Bronze EPO HDHP 8050 10004 - EPO
  • SoloCare Exp Bronze EPO 7200 - $0 Generic Rx 10015 - EPO
  • SoloCare Gold EPO 2300 - 3 Free PCP Visits, $5 Generic Rx 10010 - EPO
  • SoloCare Silver EPO 6000/60 - 3 Free PCP Visits 10014 - EPO
  • SoloCare Silver EPO 7000 - 3 Free PCP Visits, $5 Generic Rx 10013 - EPO
  • SoloCare Standard Exp Bronze EPO 10008 - EPO
  • SoloCare Standard Gold EPO 10006 - EPO
  • SoloCare Standard Platinum EPO 10005 - EPO
  • SoloCare Standard Silver EPO 10007 - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. NEDRA TAMARA PENLAND LPC

Authorized Official Title
CO- FOUNDER
Authorized Official Phone
(678) 835-8144

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
006862116AMEDICAID (05)GA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1215288097
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22254816018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 4 + 8 + 1 + 6 + 0 + 1 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1215288097 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1316019029DR. JUDY ANN KERLEY PH.D.
Individual
Psychologist (Clinical)4411 SUWANEE DAM RD SUITE 920
SUWANEE, GA 30024
(678) 714-9590
1437344322 JOHN DAVID BOVE PT
Individual
Physical Therapist4411 SUWANEE DAM RD SUITE 330
SUWANEE, GA 30024
(770) 904-2332
1770754475SPECIAL NEEDS PEDIATRIC THERAPY SERVICES
Organization
Physical Therapist (Pediatrics)4411 SUWANEE DAM RD SUITE 455
SUWANEE, GA 30024
(678) 714-6708
1972750503ABOVE PHYSICAL THERAPY, LLC
Organization
Clinic/Center (Physical Therapy)4411 SUWANEE DAM RD SUITE #330
SUWANEE, GA 30024
(770) 904-2332
1073848891MARY GRACE THOMAS, PH.D.,P.C.
Organization
Psychologist4411 SUWANEE DAM RD SUITE 920
SUWANEE, GA 30024
(678) 714-9590
1245566603JEFF WEBER, ED.D., P.C.
Organization
Psychologist4411 SUWANEE DAM RD SUITE 920
SUWANEE, GA 30024
(678) 714-9590
1275831729 MARIA-ELENA GROGAN BOVE PT
Individual
Physical Therapist4411 SUWANEE DAM RD SUITE 330
SUWANEE, GA 30024
(770) 904-2332
1588943344MRS. SABRINA MARIA HYLAND LPC
Individual
Counselor (Professional)4411 SUWANEE DAM RD SUITE 635
SUWANEE, GA 30024
(678) 835-8144
1871936732MRS. KIMBERLY MONIQUE TURNER-ROGERS CCC-SLP
Individual
Speech-Language Pathologist4411 SUWANEE DAM RD SUITE 455
SUWANEE, GA 30024
(678) 482-2158
1841588860 DAN MENG M.D.
Individual
Physical Medicine & Rehabilitation4411 SUWANEE DAM RD SUITE 210
SUWANEE, GA 30024
(678) 548-6171
1164802724 MINDY PIERCE
Individual
Counselor (Professional)4411 SUWANEE DAM RD SUITE 440
SUWANEE, GA 30024
(404) 861-0942
1447610126 BRIANA NECESSARY M.S. CCC-SLP
Individual
Speech-Language Pathologist4411 SUWANEE DAM RD #455
SUWANEE, GA 30024
(404) 312-1374
1437455193 JANE CHOE-DOBIAS PT
Individual
Specialist4411 SUWANEE DAM RD
SUWANEE, GA 30024
(770) 904-2332
1902106156 MELISSA CLEMENTS
Individual
Speech-Language Pathologist4411 SUWANEE DAM RD
SUWANEE, GA 30024
(678) 714-6708
1811503402 TRACY CULLOM MA, LAPC
Individual
Counselor (Professional)4411 SUWANEE DAM RD
SUWANEE, GA 30024
(678) 993-8464
1093322398MRS. WENDY BARIBEAU LAMFT
Individual
Marriage & Family Therapist4411 SUWANEE DAM RD SUITE 720
SUWANEE, GA 30024
(678) 993-8494
1801460803 DALE ROBERT BREWER
Individual
Counselor (Mental Health)4411 SUWANEE DAM RD
SUWANEE, GA 30024
(937) 467-6789
1225317555 AMPARO GABRIELA SOTO OT
Individual
Occupational Therapist4411 SUWANEE DAM RD
SUWANEE, GA 30024
(678) 482-2158
1821419854 KIM CHAMPINE YOURICK MBA, PT
Individual
Physical Therapist4411 SUWANEE DAM RD SUITE 330
SUWANEE, GA 30024
(770) 904-2332
1891576369 EMILY FELTON
Individual
Social Worker4411 SUWANEE DAM RD
SUWANEE, GA 30024
(770) 595-6830

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215288097, enumerated in the NPI registry as an "organization" on September 20, 2012

The provider is located at 4411 Suwanee Dam Rd Suite 635 Suwanee, Ga 30024 and the phone number is (678) 835-8144

This medical organization specializes in Counselor with taxonomy code 101YP2500X with a focus in Professional

The provider might be accepting Accepts: Alliant Health Plans, Inc., Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 20, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.