PEACHTREE PSYCHOLOGY
NPI 1467805747
Counselor - Professional in Roswell, GA
About Peachtree Psychology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEACHTREE PSYCHOLOGY (NPI 1467805747) is a healthcare organization registered as a professional in Roswell, Georgia and active in the NPI registry since July 2016. The organization lists Susan Keenan, Lpc, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Peachtree Psychology 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 Peachtree Psychology, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Peachtree Psychology's NPI number?
The NPI number for Peachtree Psychology is 1467805747. It was assigned to this organization in the NPPES registry on July 21, 2016.
Where is Peachtree Psychology located?
Peachtree Psychology is located at 555 Sun Valley Dr P4, Roswell, GA 30076. The listed phone number is (678) 381-1687.
What is Peachtree Psychology's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Peachtree Psychology enrolled in Medicare?
Yes. Peachtree Psychology is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Peachtree Psychology?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Peachtree Psychology. 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 Peachtree Psychology was last updated on July 21, 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.
# Peachtree Psychology · NPI 1467805747
Professional organization in Roswell, Georgia. Organization record, active in the CMS NPPES registry since July 21, 2016.
## Identity
- **NPI:** 1467805747 (Entity type: Organization)
- **Enumerated:** July 21, 2016
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Susan Keenan, LPC
## Practice location
- **Address:** 555 SUN VALLEY DR, P4, Roswell, GA 30076-5612
- **Phone:** (678) 381-1687
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2016
- **Other identifiers:** Other 003161 (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1467805747) · Data from the CMS NPPES public registry.