Individual provider Active NPI

Sonya Kennedy, LPC

  • Counselor
  • Atlanta, GA
National Provider Identifier
1124493309
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC005673 Issued in GA
Practice address
9 Dunwoody Park
Suite 136
Atlanta, GA 30338-7407
Phone
(770) 744-5055
Fax
(470) 545-4382
NPI assigned
Dec 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC005673 GA Primary

Addresses

Primary practice location

9 Dunwoody Park
Suite 136
Atlanta, GA 30338-7407

Mailing address

9 Dunwoody Park
Suite 136
Atlanta, GA 30338-7407
Phone (770) 744-5055

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

State licenses

LicenseStateTypeSpecialty
LPC005673GAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1124493309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 DUNWOODY PARK",
            "address_2": "SUITE 136",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303387407",
            "telephone_number": "770-744-5055",
            "fax_number": "470-545-4382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 DUNWOODY PARK",
            "address_2": "SUITE 136",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303387407",
            "telephone_number": "770-744-5055",
            "fax_number": "470-545-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "SONYA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-14",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC005673",
            "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 Dec 14, 2015; 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.