DEVONDRA NOLAN (LPC) – Professional Counselor, NPI 1023552494

DEVONDRA NOLAN (LPC) is a healthcare provider. based in Marietta, Georgia. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. APC005603 (GA). The NPI Number for DEVONDRA NOLAN (LPC) is 1023552494

Main info

Female
11 Years Of Experience
Name
DEVONDRA NOLAN (LPC)
NPI
1023552494
Phone
(770) 514-2464
Address
1650 COUNTY SERVICES PKWY SW STE 2000
Enumeration Date
5 December 2016
Last Update Date
7 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7705142464
Graduation Year
2015 (11 years ago)
PAC ID
8527411040
Group Practice PAC ID
5496721987
Professional Enrollment ID
I20240131001623
Address ID
GA300084010MA1650XSWXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:9State licenses:2Digital endpointsOther names

1,200 MENTAL HEALTH COUNSELOR in GA

Provider Addresses for DEVONDRA NOLAN (LPC)

  • 1650 COUNTY SERVICES PKWY SW STE 2000

    MARIETTA, GA 300084010

    Phone: (770) 514-2464

    Fax: (770) 514-2806

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240131001623IMental Health CounselorGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30008)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496721987View full group profile
NameSpecialtyState
Nurse PractitionerGA
Certified Clinical Nurse Specialist (Cns)GA
Nurse PractitionerGA
Nurse PractitionerGA
Mental Health CounselorGA
-GA
Nurse PractitionerGA
-GA
Family PracticeNC
-GA

Reviews

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Frequently asked questions

Is DEVONDRA NOLAN (LPC) listed with a National Provider Identifier?
Yes — DEVONDRA NOLAN (LPC) has NPI 1023552494 on file in the registry.
Is DEVONDRA NOLAN (LPC) shown as active in public data?
Registry records indicate DEVONDRA NOLAN (LPC) maintains an active NPI.
What expertise is attributed to DEVONDRA NOLAN (LPC)?
DEVONDRA NOLAN (LPC)'s specialty line reads Professional Counselor. Clinical services aligned with this taxonomy classification.
Is DEVONDRA NOLAN (LPC) located near Marietta?
DEVONDRA NOLAN (LPC) currently maps to Marietta, Georgia in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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