Kimberly Taylor Livsey, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC005863 Issued in GA

Practice address

1804 Hollingsworth Blvd NW
Atlanta, GA 30318-4036

Phone

(404) 295-4224

NPI assigned

Feb 22, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• D.R.E.a.M Therapuetic Solutions, LLC

  • Community/Behavioral Health Agency
  • College Park, GA
  • NPI 1750697694
  NPD (past)

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1134426570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 HOLLINGSWORTH BLVD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303184036",
            "telephone_number": "404-295-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 HOLLINGSWORTH BLVD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303184036",
            "telephone_number": "404-295-4224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2555 Flat Shoals Rd Apt 2204",
            "address_purpose": "LOCATION",
            "city": "College Park",
            "state": "GA",
            "postal_code": "303494374",
            "country_code": "US",
            "telephone_number": "404-295-4224",
            "fax_number": "770-994-0532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIVSEY",
        "first_name": "KIMBERLY",
        "middle_name": "TAYLOR",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-22",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC005863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003106113A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Leigh Livingston
• Sallie Livingston, LCSW
• Tawian McKennon Livingston, MD
• Livingwell Collaborative, LLC
• Jessica Hope Livsey, MD
• Livvey HC LLC
• Jose Fernando Lizcano-Perez, M.D.
• LK Psych Health
• Danielle Llanos, MD
• McKenzie Llapur

• Professional Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.