MS. SUSAN ALICE RISTAU (NPI# 1881853026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881853026 |
| Entity Type | Individual |
| Full Name | MS. SUSAN ALICE RISTAU |
| Credential | LPC |
| Practice Address |
1000 Chastain Rd Nw Kennesaw Hall, Suite 2419 Kennesaw GA 30144-5588 |
| Mailing Address |
3288 Sutcliffe Rdg Nw Marietta GA 30064-1737 |
| Practice Telephone | 7704236746 |
| Practice Fax Number | 6787971000 |
| Mailing Telephone | 7702353837 |
| Mailing Fax Number | 6787971000 |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2008-06-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2483 | GA | Behavioral Health & Social Service Providers |
| Street Address |
1000 CHASTAIN RD NW KENNESAW HALL, SUITE 2419 |
| City | KENNESAW |
| State | GA |
| Zip Code | 30144-5588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619180676 | Anne Nichols | Nurse Practitioner | 1000 Chastain Rd Nw, Mailstop 5200, Kennesaw, GA 30144-5588 | 2007-05-07 |
| 1518207612 | Kennesaw State University | Clinic/Center | 1000 Chastain Rd Nw, Md5200 House 52, Kennesaw, GA 30144-5588 | 2013-02-26 |
| 1346512357 | Lisa Marie Schulte | Internal Medicine | 1000 Chastain Rd Nw, Mailbox 0201, Kennesaw, GA 30144-5588 | 2012-02-07 |
| 1396057808 | Hiroki Kariya | Specialist/Technologist | 1000 Chastain Rd Nw, Kennesaw, GA 30144-5588 | 2010-07-13 |
| 1831426931 | Kennesaw State University Health Clinic | Clinic/Center | 1000 Chastain Rd Nw, House 52, Kennesaw, GA 30144-5588 | 2009-11-10 |
| 1003050576 | Lisa Vivienne Poling | Nurse Practitioner | 1000 Chastain Rd Nw, Kennesaw, GA 30144-5588 | 2009-04-28 |
| 1750579876 | Gwen Hatley Whiting | Student in an Organized Health Care Education/Training Program | 1000 Chastain Rd Nw, #5200 House #52, Kennesaw, GA 30144-5588 | 2007-10-15 |
| 1104019801 | Lisa Schlageter Stadalius | Nurse Practitioner | 1000 Chastain Rd Nw, 52, Kennesaw, GA 30144-5588 | 2007-08-26 |
| 1932312899 | Emma M. Guice | Nurse Practitioner | 1000 Chastain Rd Nw, House 52, Student Health Clinic, Kennesaw, GA 30144-5588 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1487149340 | Creative Family Care Inc. | Social Worker | 1275 Shiloh Rd Nw Ste 3030, Kennesaw, GA 30144 | 2018-06-24 |
| 1033632203 | Octavio Andres Tobar | Specialist/Technologist | 1950 Barrett Lakes Blvd Nw Apt 1213, Kennesaw, GA 30144 | 2017-07-19 |
| 1851829220 | Sharon Mcmillan | Counselor | 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 | 2017-05-31 |
| 1073054680 | Metropolitan Health Care Plus Inc | Home Health | 445 Laurian Way, Kennesaw, GA 30144 | 2017-03-15 |
| 1649627969 | Caresouth Hha Holdings of Gainesville, LLC | Hospice Care, Community Based | 1000 Cobb Place Blvd Nw Ste 310, Kennesaw, GA 30144 | 2016-05-17 |
| 1851745988 | Joseph Mulligan | Social Worker | 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 | 2016-04-14 |
| 1629438601 | Youfit Health Clubs | Clinic/Center | 3895 Cherokee St Suite 100, Kennesaw, GA 30144 | 2016-03-03 |
| 1598156317 | Jodie Evans | Specialist | 1925 Vaughn Rd, Ste 200, Kennesaw, GA 30144 | 2015-02-16 |
| 1912302134 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Cobb Place Blvd Nw Ste 510, Kennesaw, GA 30144 | 2014-10-30 |
| Find all providers in zip 30144 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982241451 | Anila Asghar Malik | Counselor | 3164 Kirkwood Dr Nw, Kennesaw, GA 30144-2354 | 2019-12-04 |
| 1386289213 | Sarah Michelle Howell | Counselor | 1301 Shiloh Rd Nw Ste 340, Kennesaw, GA 30144-7151 | 2019-11-14 |
| 1558905992 | Edward Patrick Craven Jr. | Counselor | 3745 Cherokee St Nw Ste 607, Kennesaw, GA 30144-6733 | 2019-10-29 |
| 1831698869 | In Control Counseling Services, LLC | Counselor | 3895 Mountain View Rd Nw, Kennesaw, GA 30152-2388 | 2018-02-05 |
| 1619407020 | Pauline Waweru | Counselor | 1301 Shiloh Rd Nw Ste 1811, Kennesaw, GA 30144-7171 | 2017-06-18 |
| 1285161463 | Jennifer Y Hahn | Counselor | 3070 N Main St Nw Ofc 10, Kennesaw, GA 30144-2756 | 2017-05-18 |
| 1427590090 | Jennifer Lee Wells | Counselor | 1425 Ridenour Blvd Nw Apt 8108, Kennesaw, GA 30152-4570 | 2016-11-13 |
| 1104279637 | Gloria Dunston | Counselor | 1575 Ridenour Pkwy Nw, Apt. 1823, Kennesaw, GA 30152-4714 | 2016-07-20 |
| 1972961357 | Brent C Harris | Counselor | 4010 Sumit Wood Dr Nw, Kennesaw, GA 30152-4155 | 2016-02-01 |
| 1760888978 | Tiffany Webb | Counselor | 1301 Shiloh Rd Nw Ste 840, Kennesaw, GA 30144-7156 | 2014-11-15 |
| Find all providers in KENNESAW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.