MRS. THERESE K WYATT LAPC
NPI 1134539299
Counselor - Mental Health in Marietta, GA
About Mrs. Therese K Wyatt Lapc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. THERESE K WYATT LAPC (NPI 1134539299) is an individual mental health provider in Marietta, Georgia, licensed in Georgia (APC004095) and active in the NPI registry since April 2014. She has opted out of Medicare through January 1, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mrs. Therese K Wyatt Lapc 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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MARIETTA, GA 30066
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 Therese Wyatt's NPI number?
The NPI number for Therese Wyatt is 1134539299. It was assigned to this individual provider in the NPPES registry on April 29, 2014.
Where is Therese Wyatt located?
Therese Wyatt practices at 2993 Sandy Plains Rd Suite 115, Marietta, GA 30066. The listed phone number is (770) 910-2753.
What is Therese Wyatt's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Therese Wyatt enrolled in Medicare?
No. Therese Wyatt 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 Therese Wyatt was last updated on April 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Mrs. Therese K Wyatt, LAPC · NPI 1134539299
Mental Health provider in Marietta, Georgia. Individual provider, active in the CMS NPPES registry since April 29, 2014.
## Identity
- **NPI:** 1134539299 (Entity type: Individual)
- **Enumerated:** April 29, 2014
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** APC004095 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2993 SANDY PLAINS RD, SUITE 115, Marietta, GA 30066-4695
- **Phone:** (770) 910-2753
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** April 29, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1134539299) · Data from the CMS NPPES public registry.