Individual provider Active NPI

Kaylee Goss, LPC, NCC

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1255940904
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC013416 Issued in GA
Practice address
750 Hammond Drive
Building 6, Suite 350
Atlanta, GA 30328
Phone
(404) 828-0028
NPI assigned
Jul 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC013416 GA Primary

Addresses

Primary practice location

750 Hammond Drive
Building 6, Suite 350
Atlanta, GA 30328

Mailing address

750 Hammond Drive
Building 6, Suite 350
Atlanta, GA 30328
Phone (404) 828-0028

Other practice location 1

738 Woodlawn Dr NE
Marietta, GA 30068-4253
Phone (770) 726-9589

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
LPC013416GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kaylee Goss LLC CurrentSince Jun 23, 2024 Accepting new patients
Art It Out Therapy Center PastSince Aug 1, 2020 Accepting new patients

Locations

750 Hammond Dr
Bldg 6
Sandy Springs, GA 30328
Phone (404) 828-0028

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1255940904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 HAMMOND DRIVE",
            "address_2": "BUILDING 6, SUITE 350",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "404-828-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 HAMMOND DRIVE",
            "address_2": "BUILDING 6, SUITE 350",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "404-828-0028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "738 Woodlawn Dr NE",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300684253",
            "country_code": "US",
            "telephone_number": "770-726-9589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOSS",
        "first_name": "KAYLEE",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC013416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.