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MS. SUSAN ALICE RISTAU LPC
NPI 1881853026
Counselor - Professional in Kennesaw, GA

Active since June 03, 2008PECOS Enrolled
1000 CHASTAIN RD NW, KENNESAW HALL, SUITE 2419, KENNESAW, GA 30144(770) 423-6746(678) 797-1000 Get Directions Write a Review

NPPES record last updated: June 3, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Susan Alice Ristau Lpc NPPES

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

MS. SUSAN ALICE RISTAU LPC (NPI 1881853026) is an individual professional provider in Kennesaw, Georgia, licensed in Georgia (2483) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881853026
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. SUSAN ALICE RISTAUCredential: LPC
Location Address1000 CHASTAIN RD NW, KENNESAW HALL, SUITE 2419Kennesaw, GA 30144-5588
Mailing Address3288 Sutcliffe Rdg NwMarietta, GA 30064-1737 · (770) 235-3837 · Fax (678) 797-1000
Phone(770) 423-6746
Fax(678) 797-1000
Sole ProprietorYes
Enumeration DateJune 3, 2008
✔ NPI 1881853026 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 · 2483
1000 CHASTAIN RD NW, Kennesaw, GA 30144
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Susan Alice Ristau Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 11

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

LISA VIVIENNE POLING NP
Nurse Practitioner (Family)
1000 CHASTAIN RD NW
KENNESAW, GA 30144
Cobb County (678) 797-2844
MS. LISA SCHLAGETER STADALIUS APRN
Nurse Practitioner (Women's Health)
1000 CHASTAIN RD NW, 52
KENNESAW, GA 30144
Cobb County (770) 423-6642
KAYLA FOSTER
Student in an Organized Health Care Education/Training Program
1000 CHASTAIN RD NW
KENNESAW, GA 30144
Cobb County (470) 578-6630
MISS LISA MARIE SCHULTE ATC/LAT
Internal Medicine (Sports Medicine)
1000 CHASTAIN RD NW, MAILBOX 0201
KENNESAW, GA 30144
Cobb County (770) 423-6487
HIROKI KARIYA ATC, NREMT-B
Specialist/Technologist (Athletic Trainer)
1000 CHASTAIN RD NW
KENNESAW, GA 30144
Cobb County (678) 797-2291
KENNESAW STATE UNIVERSITY
Clinic/Center (Student Health)
1000 CHASTAIN RD NW, MD5200 HOUSE 52
KENNESAW, GA 30144
Cobb County (770) 423-6644
ANNE NICHOLS NURSE PRACTITIONER
Nurse Practitioner (Family)
1000 CHASTAIN RD NW, MAILSTOP 5200
KENNESAW, GA 30144
Cobb County (770) 423-6642
JASMINE MAXWELL FNP-S
Registered Nurse
1000 CHASTAIN RD NW
KENNESAW, GA 30144
Cobb County (470) 578-6000

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 Susan Ristau's NPI number?

The NPI number for Susan Ristau is 1881853026. It was assigned to this individual provider in the NPPES registry on June 3, 2008.

Where is Susan Ristau located?

Susan Ristau practices at 1000 Chastain Rd NW Kennesaw Hall, Suite 2419, Kennesaw, GA 30144. The listed phone number is (770) 423-6746.

What is Susan Ristau's specialty?

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

Is Susan Ristau enrolled in Medicare?

Yes. Susan Ristau is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susan Ristau was last updated on June 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.