NPIMap

Organization Active NPI

Kendall P. Weinberg Counseling, LLC

  • Professional Counselor
  • Athens, GA
National Provider Identifier
1053826412
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC004604 Issued in GA
Legal business name
KENDALL P. WEINBERG COUNSELING, LLC
Practice address
2047 Prince Ave Ste C
Athens, GA 30606-6033
Phone
(404) 434-1243
Fax
(770) 995-1959
NPI assigned
Dec 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Authorized official

Name
Kendall Poppell Weinberg, LPCNPI 1114314770
Title
Owner
Phone
(706) 405-4137

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LPC004604 GA Primary

Addresses

Primary practice location

2047 Prince Ave Ste C
Athens, GA 30606-6033

Mailing address

2202 Brookhaven Dr
Yardley, PA 19067-6374
Phone (404) 434-1243

Other practice location 1

2202 Brookhaven Dr
Yardley, PA 19067-6374
Phone (404) 434-1243

National Provider Directory

National Provider Directory

Locations

2047 Prince Ave
Ste C
Athens, GA 30606
Phone (404) 434-1243

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1053826412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 BROOKHAVEN DR",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190676374",
            "telephone_number": "404-434-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2047 PRINCE AVE STE C",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066033",
            "telephone_number": "404-434-1243",
            "fax_number": "770-995-1959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2202 Brookhaven Dr",
            "address_purpose": "LOCATION",
            "city": "Yardley",
            "state": "PA",
            "postal_code": "190676374",
            "country_code": "US",
            "telephone_number": "404-434-1243",
            "fax_number": "770-995-1959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KENDALL P. WEINBERG COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_middle_name": "POPPELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-405-4137",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.