Individual provider Active NPI

Kelly H Harvey, LPC

  • Mental Health Counselor
  • Atlanta, GA
National Provider Identifier
1306088539
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
007390 Issued in GA
Practice address
6595 Roswell Rd # G6308
Atlanta, GA 30328-3152
Phone
(404) 599-7015
NPI assigned
Apr 2, 2009
Last updated
Aug 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
12119524OtherNHCAQH 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

LicenseStateTypeSpecialty
407NHMDClinical 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.

Verify at the official NPI Registry.