Kenard Sanders, PHD, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC003317 Issued in GA

Practice address

160 Clairemont Ave
Ste 200
Decatur, GA 30030-2500

Phone

(678) 954-5814

NPI assigned

Dec 17, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Cornerstone Counseling Services LLC

  • Mental Health Counselor
  • Decatur, GA
  • NPI 1891031068
  NPD (past) Authorized official

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355702400000",
    "number": "1083950240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 BRIGHTON BLVD SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303166906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CLAIREMONT AVE",
            "address_2": "STE 200",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302500",
            "telephone_number": "678-954-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "KENARD",
        "credential": "PHD, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-17",
        "last_updated": "2012-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC003317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley Hersh Sanden, PSY.D.
• Alisha Virani Sanders, FNP-C
• Amanda A Sanders, PA-C
• Belinda Zoe Sanders, MASTER COSMETOLOGIST
• Ciara Sanders, OTR/L
• Ronald Gene Sanders II, RONALD SANDERS
• Roy Quincy Sanders, MD
• Sandi J. Stephens Inc. (Therapeutic Edge)
• Emiliana Sandiego, M.D.
• Kathryn Hunter Sandifer, LPC

• Mental Health Counselor in Decatur, GA
• Providers in Decatur, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; 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.