Individual provider Active NPI

Hayley Elizabeth Kast, LPC

  • Professional Counselor
  • Carrollton, GA
National Provider Identifier
1013193432
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC004967 Issued in GA
Practice address
173 Kilgore Rd Ste 206
Carrollton, GA 30116-1899
Phone
(770) 653-5974
NPI assigned
Jan 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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 LPC004967 GA Primary

Addresses

Primary practice location

173 Kilgore Rd Ste 206
Carrollton, GA 30116-1899

Mailing address

173 Kilgore Rd Ste 206
Carrollton, GA 30116-1899
Phone (770) 653-5974

Other practice location 1

2717 N Highway 27
Carrollton, GA 30117-9349
Phone (770) 653-5974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240417003849 GA Practitioner - Mental Health Counselor 9931548393 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Response and Prevention Counseling CurrentSince Dec 13, 2022 Accepting new patients
Sondermind Provider Network LLC Professional CurrentSince Apr 5, 2024 Accepting new patients

Locations

3348 Peachtree Rd NE
Ste 700
Atlanta, GA 30326
Phone (720) 712-7900

173 Kilgore Rd
Ste 206
Carrollton, GA 30116
Phone (770) 653-5974

Networks

  • TN PPO C-SNP
  • AL HMO
  • TN PPO
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • FL HMO C-SNP
  • FL HMO D-SNP
  • AL HMO D-SNP
  • FL HMO

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1013193432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 KILGORE RD STE 206",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301161899",
            "telephone_number": "770-653-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 KILGORE RD STE 206",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301161899",
            "telephone_number": "770-653-5974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2717 N Highway 27",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "GA",
            "postal_code": "301179349",
            "country_code": "US",
            "telephone_number": "770-653-5974",
            "fax_number": "678-246-0016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAST",
        "first_name": "HAYLEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-16",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

Verify at the official NPI Registry.