Individual provider Active NPI

Dawn Kitto, MS, LPC

  • Mental Health Counselor
  • Atlanta, GA
National Provider Identifier
1063814713
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC009830 Issued in GA
Practice address
675 Seminole Ave NE Ste T03
Atlanta, GA 30307-3409
Phone
(404) 249-0520
NPI assigned
Sep 24, 2014
Last updated
Nov 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X APC004560 GA
Mental Health Counselor 101YM0800X LPC009830 GA Primary

Addresses

Primary practice location

675 Seminole Ave NE Ste T03
Atlanta, GA 30307-3409

Mailing address

108 E Ponce de Leon Ave Ste 204
Decatur, GA 30030-2512
Phone (404) 618-1101

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 Science

State licenses

LicenseStateTypeSpecialty
APC004560GAMDMental Health Counselor
LPC009830GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Samudra Psychological Services LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1063814713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E PONCE DE LEON AVE STE 204",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302512",
            "telephone_number": "404-618-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 SEMINOLE AVE NE STE T03",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303073409",
            "telephone_number": "404-249-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTO",
        "first_name": "DAWN",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC004560",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC009830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.