P Praxis·MD
● Active Type 1 · Individual

DR. Tim Fennell, PHD

Counselor·Chamblee, GA· NPI 1356618201 · Enumerated 2011 · 14 years on NPI
Fennell is 1 of 12 counselor providers in Chamblee and 1 of 7547 in Georgia.
NPI age
14 years
Enumerated 2011-11-21
Primary specialty
Counselor
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-11-12
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 7547 active counselor providers in Georgia.

NPI age
14 years
↑ 5 yr above median (9 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-11Enumerated in NPPES
2011 2026

Where they practice

Practice location
3990 Clairmont Rd
Chamblee, GA 303414938
📞 4075950146fax 8772608720
Mailing address
5703 Red Bug Lake Rd # 518
Winter Springs, FL 327084969
📞 4075957006fax 8772608720

Specialties

  • Counselor Primary
    Definition to come...
    GA license #LPC009594 taxonomy 101YP2500X

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new counselor provider has been added in Chamblee in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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