Active NPI
Kennedy Wrae Inman, APC
- Mental Health Counselor
- Atlanta, GA
National Provider Identifier
1013691294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1900 The Exchange SE Ste 100
Atlanta, GA 30339-2022 - Phone
- (404) 233-3949
- NPI assigned
- Jun 9, 2023
- Last updated
- Oct 8, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
1900 The Exchange SE Ste 100
Atlanta, GA 30339-2022
Mailing address
1050 Elephant TRL
Gainesville, GA 30501-3016
Phone (770) 535-1050
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center Point Ga, Inc. | Current | Accepting new patients |
Locations
1050 Elephant Trl
Gainesville, GA 30501
Phone (770) 535-1050
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Counselor
- Gainesville, GA
- NPI 1154443240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1013691294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 ELEPHANT TRL",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013016",
"telephone_number": "770-535-1050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 THE EXCHANGE SE STE 100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303392022",
"telephone_number": "404-233-3949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INMAN",
"first_name": "KENNEDY",
"middle_name": "WRAE",
"credential": "APC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-09",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Inner Coach Counseling
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.