P Praxis·MD
● Active Type 1 · Individual

Brooke Camden Widder, LPC

Counselor·Roswell, GA· NPI 1790354041 · Enumerated 2021 · 4 years on NPI
Widder is 1 of 128 counselor providers in Roswell and 1 of 5527 in Georgia.
NPI age
4 years
Enumerated 2021-06-22
Primary specialty
Counselor
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-02-05
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5527 active counselor providers in Georgia.

NPI age
4 years
≈ at median (5 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-06Enumerated in NPPES
2021 2026

Where they practice

Practice location
2002 MacY Dr
Roswell, GA 300766346
📞 7707655965
Mailing address
880 Marietta Hwy Ste 630-245
Roswell, GA 300756755
📞 7707655965

Specialties

  • Counselor Primary
    Definition to come...
    GA license #012114 taxonomy 101YM0800X

Practice context

Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.

Recently enumerated nearby: 5 new counselor providers have been added in Roswell 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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