Individual provider Active NPI

Kelsey Lee Myers, APC, NCC

  • Mental Health Counselor
  • Cumming, GA
National Provider Identifier
1134718364
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
APC007065 Issued in GA
Practice address
327 Dahlonega St Ste B902
Cumming, GA 30040-2493
Phone
(470) 206-3822
NPI assigned
Jan 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X APC007065 GA Primary

Addresses

Primary practice location

327 Dahlonega St Ste B902
Cumming, GA 30040-2493

Mailing address

131 Arrowood LN
Alpharetta, GA 30009-1801
Phone (561) 676-1281

Other practice location 1

1905 Woodstock Rd Ste 3250
Roswell, GA 30075-5622
Phone (678) 210-1513

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
APC007065GAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1134718364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 ARROWOOD LN",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091801",
            "telephone_number": "561-676-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 DAHLONEGA ST STE B902",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402493",
            "telephone_number": "470-206-3822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1905 Woodstock Rd Ste 3250",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300755622",
            "country_code": "US",
            "telephone_number": "678-210-1513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "KELSEY",
        "middle_name": "LEE",
        "credential": "APC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC007065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.