Lisa Kirkpatrick Kettering, APC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APC007035 Issued in GA

Practice address

6548 Highway 92 Ste 100
Acworth, GA 30102-2572

Phone

(678) 770-1280

NPI assigned

Sep 13, 2018

Last updated

Nov 23, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574467200000",
    "number": "1285117416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BILLIES CV SE",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301026894",
            "telephone_number": "678-770-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6548 HIGHWAY 92 STE 100",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301022572",
            "telephone_number": "678-770-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETTERING",
        "first_name": "LISA",
        "middle_name": "KIRKPATRICK",
        "name_prefix": "Mrs.",
        "credential": "APC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2019-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC007035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kourtney Kemp
• Gail Marie Kendall, PHARM.D. RPH
• Crystal Kennerly
• Kennesaw Family Physicians PC (Main Street Family Physicians)
• Kennestone Hospital Inc (WellStar Pharmacy Network #7)
• Bhawna Khanna, MD
• Bryan Kim, DO
• Eunice Kim
• Richard William Kimmerling, MD
• Cathy Lee King

• Mental Health Counselor in Acworth, GA
• Providers in Acworth, 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 Nov 23, 2019; 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.