Peter Zachary Kissell, M.ED., M.S.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APC007451 Issued in GA

Practice address

5755 N Point Pkwy Ste 75
Alpharetta, GA 30022-1146

Phone

(770) 645-8933

NPI assigned

Feb 15, 2024

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

Master of Education, Master of Science

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.

• McConaghie Family Counseling

  • Clinical Social Worker
  • Alpharetta, GA
  • NPI 1114229523
  NPD (past)

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1184489445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5755 N POINT PKWY STE 75",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221146",
            "telephone_number": "770-645-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 N POINT PKWY STE 75",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221146",
            "telephone_number": "770-645-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISSELL",
        "first_name": "PETER",
        "middle_name": "ZACHARY",
        "credential": "M.ED., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC007451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meschelle King
• Sierra King
• Kingsley Clinic of Georgia LLC
• Gia Kirk
• Martha Virginia Kirkland, DMD MS
• Keith Edward Kitchens, D.M.D.
• Kailee Kivett
• Taylor Kleb, BSN, RN, CEN
• Robin Marie Kleimon, MS, ATC, OTC
• Marc Klein, M.D.

• Mental Health Counselor in Alpharetta, GA
• Providers in Alpharetta, 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 Feb 15, 2024; 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.