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Active NPI 1619567104 Individual Practitioner Female Practitioner

Patsy Ann Herndon , LPC

Counselor - Professional • Kennesaw, GA

Professional Overview & Biography Verified Profile Summary

Patsy Herndon, LPC is a certified Counselor - Professional practicing in Kennesaw, GA. With approximately 13 years of clinical experience since completing medical education in 2013, Patsy Herndon delivers high-quality medical care to the local community at 4255 WADE GREEN RD NW STE 414.

Patsy Herndon does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

4255 Wade Green Rd Nw Ste 414

Kennesaw, GA 301441763

Telephone 6782132194
Fax 6789227767
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Kennesaw, GA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs -1.3 yrs vs City Avg
City Avg: 14.3 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
117 Specialists

Practicing in Kennesaw, GA (6655 Statewide)

Telehealth Adoption Rate
2.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Herndon (13 Years) 13 Yrs
Kennesaw Specialty Average (14.3 Years) 14.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-05-05
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License GA LPC009234

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Brandi Williams , LCSW

Social Worker - Clinical

NPI 1013516608

Licensed Clinical Social Worker

Jeri Green , MS, LPC

Counselor - Professional

NPI 1073818845

Master of Science, Licensed Professional Counselor

Dr. Willaim Ragsdale , PhD

Counselor - Professional

NPI 1083875157

Doctor of Philosophy (Ph.D.)

Serena Cosmo , MA

Counselor - Professional

NPI 1093497653

Master of Arts

Martha Tuck

Counselor - Mental Health

NPI 1104574540
Kris Shock , APC

Counselor - Mental Health

NPI 1154090009

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Business Mailing Address May 05, 2026

Registered at 4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 852517630

📍
Updated Practice Location February 17, 2026

Registered at 4255 WADE GREEN RD NW STE 414, KENNESAW, GA 301441763 (Tel: 6782132194)

📍
Updated Business Mailing Address February 17, 2026

Registered at 4255 WADE GREEN RD NW STE 414, KENNESAW, GA 301441763 (Tel: 6782132194)

👤
Provider Name / Credentials Updated February 17, 2026

Recorded as PATSY HERNDON, LPC

NPI Profile Active January 19, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location January 19, 2021

Registered at 63 OLD MILL RD, PORT WENTWORTH, GA 314076003 (Tel: 3134109692)

📍
Updated Business Mailing Address January 19, 2021

Registered at 63 OLD MILL RD, PORT WENTWORTH, GA 314076003 (Tel: 3134109692)

👤
Provider Name / Credentials Updated January 19, 2021

Recorded as PATSY HERNDON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2021

Counselor (License #LPC009234 in GA)

🟢
Initial NPI Registration & Enumeration January 19, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619567104
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 19, 2021
Last Update: May 05, 2026
Sole Proprietor: Yes

Mailing Address

4800 N Scottsdale Rd Ste 2500

Scottsdale, AZ 852517630

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.