P Praxis·MD
● Active Type 1 · Individual

Kaitasha D. Wooten

Counselor·Stockbridge, GA· NPI 1770313447 · Enumerated 2024 · 1 years on NPI
Wooten is 1 of 2 counselor providers in Stockbridge and 1 of 786 in Georgia.
NPI age
1 years
Enumerated 2024-08-06
Primary specialty
Counselor
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-08-06
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 786 active counselor providers in Georgia.

NPI age
1 years
↓ 6 yr below median (7 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
14% of peers hold subspecialties

NPI lifetime · 2024 → 2026

2024-08Enumerated in NPPES
2024 2026

Where they practice

Practice location
1233 Eagles Landing Pkwy
Stockbridge, GA 302816399
📞 4049056046
Mailing address
1247 Joseph E Boone Blvd Nw Apt 22
Atlanta, GA 303142360
📞 4709056046

Specialties

  • Counselor Primary
    Definition to come...
    GA license #1146 taxonomy 101YA0400X

Practice context

Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.

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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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