Organization Active NPI

Kim Austin Associates, LLC

  • Adult Mental Health Clinic/Center
  • Decatur, GA
National Provider Identifier
1316718448
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
KIM AUSTIN ASSOCIATES, LLC
Practice address
1123 Clairemont Ave
Decatur, GA 30030-1207
Phone
(207) 295-7427
NPI assigned
Jan 9, 2024
Last updated
Jan 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Authorized official

Name
Kimberly A Austin, LCSWNPI 1588677603
Title
Owner
Phone
(207) 295-7427

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1123 Clairemont Ave
Decatur, GA 30030-1207

Mailing address

520 W Ponce de Leon Ave # 99
Decatur, GA 30030-2974
Phone (207) 295-7427

National Provider Directory

National Provider Directory

Locations

520 W Ponce de Leon Ave
#99
Decatur, GA 30030
Phone (207) 295-7427

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1316718448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 W PONCE DE LEON AVE # 99",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302974",
            "telephone_number": "207-295-7427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 CLAIREMONT AVE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301207",
            "telephone_number": "207-295-7427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM AUSTIN ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-295-7427",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.