Active NPI
Hayley Elizabeth Kast, LPC
- Professional Counselor
- Carrollton, GA
National Provider Identifier
1013193432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC004967
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Response and Prevention Counseling | Current | Accepting new patients | |
| Sondermind Provider Network LLC | Professional | Current | 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.
-
- Community/Behavioral Health Agency
- Carrollton, GA
- NPI 1043921661
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.