Active NPI
Kaday Kabba-Howard, LPC
- Professional Counselor
- Hiram, GA
National Provider Identifier
1285386797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC012663
- Practice address
- 1899 Lake Rd Ste 223
Hiram, GA 30141-2293 - Phone
- (404) 907-6635
- NPI assigned
- Jan 25, 2022
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC012663 | GA | Primary |
Addresses
Primary practice location
1899 Lake Rd Ste 223
Hiram, GA 30141-2293
Mailing address
2400 Barrett Creek Blvd Apt 516
Marietta, GA 30066-4955
Phone (814) 384-8709
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003187089A | Medicaid | GA | |
| 003159462A | Medicaid | GA |
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 |
|---|---|---|---|
| LPC012663 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643068800000",
"number": "1285386797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 BARRETT CREEK BLVD APT 516",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300664955",
"telephone_number": "814-384-8709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1899 LAKE RD STE 223",
"city": "HIRAM",
"state": "GA",
"postal_code": "301412293",
"telephone_number": "404-907-6635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KABBA-HOWARD",
"first_name": "KADAY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-25",
"last_updated": "2022-01-25",
"certification_date": "2022-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC012663",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003187089A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003159462A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hiram, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.