CHRISTIE POOLE MFT
NPI 1043619794
Counselor - Professional in Woodstock, GA

Active since August 19, 2014Opted out of Medicare · through Jan 1, 2028
4595 TOWNE LAKE PKWY, BUILDING 300 SUITE 250, WOODSTOCK, GA 30189(678) 631-7639 Get Directions Write a Review

NPPES record last updated: July 27, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Christie Poole Mft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTIE POOLE MFT (NPI 1043619794) is an individual professional provider in Woodstock, Georgia, licensed in Georgia (MFT001275) and active in the NPI registry since August 2014. He has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1043619794
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameCHRISTIE POOLECredential: MFT
Location Address4595 TOWNE LAKE PKWY, BUILDING 300 SUITE 250Woodstock, GA 30189-5514
Mailing Address4595 Towne Lake Pkwy, Building 300 Suite 250Woodstock, GA 30189-5514 · (678) 631-7639
Sole ProprietorNo
Enumeration DateAugust 19, 2014
Last NPPES UpdateJuly 27, 2016
NPI 1043619794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in GA · MFT001275
4595 TOWNE LAKE PKWY, Woodstock, GA 30189

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Christie Poole Mft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
4595 TOWNE LAKE PKWY, 300-130
WOODSTOCK, GA 30189
Social Worker (Clinical)
4595 TOWNE LAKE PKWY, BUILDING 300 SUITE 250
WOODSTOCK, GA 30189
Social Worker
4595 TOWNE LAKE PKWY
WOODSTOCK, GA 30189
Social Worker (Clinical)
4595 TOWNE LAKE PKWY, BUILDING 300 SUITE 250
WOODSTOCK, GA 30189
Social Worker
4595 TOWNE LAKE PKWY, 300-130
WOODSTOCK, GA 30189
Social Worker
4595 TOWNE LAKE PKWY
WOODSTOCK, GA 30189
Dentist (General Practice)
4595 TOWNE LAKE PKWY, BLDG 200, STE 110
WOODSTOCK, GA 30189
Exclusive Provider Organization
4595 TOWNE LAKE PKWY, BLDG 300, SUITE 200
WOODSTOCK, GA 30189

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christie Poole's NPI number?

The NPI number for Christie Poole is 1043619794. It was assigned to this individual provider in the NPPES registry on August 19, 2014.

Where is Christie Poole located?

Christie Poole practices at 4595 Towne Lake Pkwy Building 300 Suite 250, Woodstock, GA 30189. The listed phone number is (678) 631-7639.

What is Christie Poole's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Christie Poole enrolled in Medicare?

No. Christie Poole has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Christie Poole was last updated on July 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.