Active NPI
Kathleen Marie Lewis, LPC
- Professional Counselor
- Marietta, GA
National Provider Identifier
1154119774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC015635
- Practice address
- 1355 Terrell Mill Rd
Building 1460 Suite 205
Marietta, GA 30067 - Phone
- (404) 951-7851
- NPI assigned
- Apr 25, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC015635 | GA | Primary |
Addresses
Primary practice location
1355 Terrell Mill Rd
Building 1460 Suite 205
Marietta, GA 30067
Mailing address
1355 Terrell Mill Rd
Building 1460 Suite 205
Marietta, GA 30067
Phone (404) 951-7851
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC015635 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745539200000",
"number": "1154119774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1355 TERRELL MILL RD",
"address_2": "BUILDING 1460 SUITE 205",
"city": "MARIETTA",
"state": "GA",
"postal_code": "30067",
"telephone_number": "404-951-7851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1355 TERRELL MILL RD",
"address_2": "BUILDING 1460 SUITE 205",
"city": "MARIETTA",
"state": "GA",
"postal_code": "30067",
"telephone_number": "404-951-7851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "KATHLEEN",
"middle_name": "MARIE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-25",
"last_updated": "2025-04-25",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC015635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.