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PSYCHOLOGICAL CONSULTANTS OF MARIETTA, PC
NPI 1093802233
Marriage & Family Therapist in Marietta, GA

Active since October 09, 2006
600 KENNESAW AVE NW, SUITE 300, MARIETTA, GA 30060(770) 420-9448 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Psychological Consultants Of Marietta, Pc NPPES

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

PSYCHOLOGICAL CONSULTANTS OF MARIETTA, PC (NPI 1093802233) is a healthcare organization registered as a marriage & family therapist in Marietta, Georgia and active in the NPI registry since October 2006. The organization lists Mark Manfred Roland, President, as its authorized official.

NPPES Registry Identity

NPI1093802233
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NamePSYCHOLOGICAL CONSULTANTS OF MARIETTA, PC
Location Address600 KENNESAW AVE NW, SUITE 300Marietta, GA 30060-6988
Mailing Address600 Kennesaw Ave Nw, Suite 300Marietta, GA 30060-6988 · (770) 420-9448
Phone(770) 420-9448
Organization SubpartNo
Authorized OfficialMark Manfred RolandPresident · (770) 420-9448
Enumeration DateOctober 9, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1093802233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in GA · 897
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 1872 (GA)
600 KENNESAW AVE NW, Marietta, GA 30060
Open in Google Maps ↗

Other Identifiers 1

Medicaid00661691AGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Psychological Consultants Of Marietta, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Psychological Consultants Of Marietta, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mark Roland, PH.D.
Clinical Psychologist
NPI 1104960715
21 TRAMMEL ST. SW PSYCHOLOGICAL CONSULTANTS OF MARIETTA PC
Marietta, GA 30064
(770) 420-9448
✔ PECOS✔ Accepts Medicare1.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Psychological Consultants Of Marietta, PC's NPI number?

The NPI number for Psychological Consultants Of Marietta, PC is 1093802233. It was assigned to this organization in the NPPES registry on October 9, 2006.

Where is Psychological Consultants Of Marietta, PC located?

Psychological Consultants Of Marietta, PC is located at 600 Kennesaw Ave NW Suite 300, Marietta, GA 30060. The listed phone number is (770) 420-9448.

What is Psychological Consultants Of Marietta, PC's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Psychological Consultants Of Marietta, PC enrolled in Medicare?

Yes. Psychological Consultants Of Marietta, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Psychological Consultants Of Marietta, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Psychological Consultants Of Marietta, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Psychological Consultants Of Marietta, PC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.