Individual provider Active NPI

S. Nyambura Kihato, M.A., M.ED., LPC

  • Professional Counselor
  • Duluth, GA
National Provider Identifier
1003126418
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
APC002607 Issued in GA
Practice address
3160 Main St Ste 102
Duluth, GA 30096-3461
Phone
(470) 736-9595
NPI assigned
Oct 19, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X APC002607 GA Primary

Addresses

Primary practice location

3160 Main St Ste 102
Duluth, GA 30096-3461

Mailing address

3160 Main St Ste 102
Duluth, GA 30096-3461
Phone (470) 736-9595

Other practice location 1

890 Atlanta St # 164
Roswell, GA 30075-4456
Phone (678) 791-6404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts, Master of Education

State licenses

LicenseStateTypeSpecialty
APC002607GAMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1003126418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 MAIN ST STE 102",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963461",
            "telephone_number": "470-736-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 MAIN ST STE 102",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963461",
            "telephone_number": "470-736-9595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "890 Atlanta St # 164",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300754456",
            "country_code": "US",
            "telephone_number": "678-791-6404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIHATO",
        "first_name": "S.",
        "middle_name": "NYAMBURA",
        "credential": "M.A., M.ED., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-19",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC002607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.