Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

PHILIP BRUCE NIEKRO
NPI 1194631309
Counselor - Mental Health in Roswell, GA

Q: What is Philip Niekro's NPI number?

The NPI number for Philip Niekro is 1194631309. It was assigned to this individual provider in the NPPES registry on August 19, 2026.

Q: What is Philip Niekro's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Philip Niekro was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.

Active since August 19, 2026

1160 GRIMES BRIDGE RD STE H, ROSWELL, GA 30075(404) 965-2686 Get Directions Write a Review

NPPES record added: August 19, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Philip Bruce Niekro NPPES

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

PHILIP BRUCE NIEKRO (NPI 1194631309) is an individual mental health provider in Roswell, Georgia, licensed in Georgia (LPC017244) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1194631309

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NamePHILIP BRUCE NIEKRO

Location Address1160 GRIMES BRIDGE RD STE HRoswell, GA 30075-3900

Mailing Address1160 Grimes Bridge Rd Ste HRoswell, GA 30075-3900 · (404) 965-2686

Phone(404) 965-2686

Sole ProprietorYes

Enumeration DateAugust 19, 2026

NPPES CertifiedAugust 19, 2026

✔ NPI 1194631309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in GA · LPC017244

1160 GRIMES BRIDGE RD STE H, Roswell, GA 30075

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Other Providers at the Same Location NPPES 2

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

CONNECTING PATHS COUNSELING LLC

Counselor (Mental Health)

1160 GRIMES BRIDGE RD STE H
ROSWELL, GA 30075

Fulton County (678) 643-1919

MRS. MARGARET G GUNTER LPC, NCC

Counselor (Professional)

1160 GRIMES BRIDGE RD STE H
ROSWELL, GA 30075

Fulton County (770) 765-5223

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 Philip Niekro's NPI number?

The NPI number for Philip Niekro is 1194631309. It was assigned to this individual provider in the NPPES registry on August 19, 2026.

Where is Philip Niekro located?

Philip Niekro practices at 1160 Grimes Bridge Rd Ste H, Roswell, GA 30075. The listed phone number is (404) 965-2686.

What is Philip Niekro's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Philip Niekro was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.