Active NPI
Kelly H Harvey, LPC
- Mental Health Counselor
- Atlanta, GA
National Provider Identifier
1306088539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 007390
- Practice address
- 6595 Roswell Rd # G6308
Atlanta, GA 30328-3152 - Phone
- (404) 599-7015
- NPI assigned
- Apr 2, 2009
- Last updated
- Aug 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 407 | NH | |
| Mental Health Counselor | 101YM0800X | 007390 | GA | Primary |
Addresses
Primary practice location
6595 Roswell Rd # G6308
Atlanta, GA 30328-3152
Mailing address
6595 Roswell Rd # G6308
Atlanta, GA 30328-3152
Phone (404) 599-7015
Other practice location 1
1419 Lavista Rd NE
Atlanta, GA 30324-3835
Phone (404) 599-7015
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12119524 | Other | NH | CAQH APPLICATION # |
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 |
|---|---|---|---|
| 407 | NH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628121600000",
"number": "1306088539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6595 ROSWELL RD # G6308",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303283152",
"telephone_number": "404-599-7015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6595 ROSWELL RD # G6308",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303283152",
"telephone_number": "404-599-7015"
}
],
"practiceLocations": [
{
"address_1": "1419 Lavista Rd NE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303243835",
"country_code": "US",
"telephone_number": "404-599-7015",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARVEY",
"first_name": "KELLY",
"middle_name": "H",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-02",
"last_updated": "2021-08-05",
"certification_date": "2021-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NH",
"license": "407",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "007390",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH APPLICATION #",
"identifier": "12119524",
"state": "NH"
}
],
"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 Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.