Active NPI
Kimberly Ann Pike, LPC
- Mental Health Counselor
- Woodstock, GA
National Provider Identifier
1255933875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC011820
- Practice address
- 251 River Park North Dr
Woodstock, GA 30188-7835 - Phone
- (470) 508-5810
- NPI assigned
- Nov 9, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC011820 | GA | Primary |
Addresses
Primary practice location
251 River Park North Dr
Woodstock, GA 30188-7835
Mailing address
2210 Holly Springs Pkwy Unit 690
Holly Springs, GA 30142-1729
Phone (678) 477-6624
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 |
|---|---|---|---|
| LPC011820 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family and Children First LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Georgia HOPE
- Community/Behavioral Health Agency
- Dalton, GA
- NPI 1770627515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662940800000",
"number": "1255933875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2210 HOLLY SPRINGS PKWY UNIT 690",
"city": "HOLLY SPRINGS",
"state": "GA",
"postal_code": "301421729",
"telephone_number": "678-477-6624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 RIVER PARK NORTH DR",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301887835",
"telephone_number": "470-508-5810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIKE",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-09",
"last_updated": "2022-09-12",
"certification_date": "2022-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC011820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, GA
- Physiotherapy Associates Inc (Physio-Woodstock)
- Anna Leigh Pickett, OTL
- Alec Pienta, MS, RD
- Petrino Pernette Pierce, RN
- Christen Pike
- Ashley Pinette, MD
- Pinnacle Anesthesia of Woodstock, PC
- Pinnacle Orthopaedics & Sports Medicine Specialists LLC
- Michelle Pintado, CLINICAL SOCIAL WORK
- Kimberly Rose Pinto, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.