Kelley Dodson, LPC, CPCS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC009024 Issued in GA

Practice address

3485 McEver Rd Ste 205
Gainesville, GA 30504-5542

Phone

(770) 450-9900

Fax

(770) 450-9300

NPI assigned

May 21, 2015

Last updated

Mar 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Ms. Kelley Aungst Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beautiful Bloom Counseling & Consulting LLC

  • Professional Counselor
  • Gainesville, GA
  • NPI 1972257772
  NPD Authorized official

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1336528520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3485 MCEVER RD STE 205",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305045542",
            "telephone_number": "770-450-9900",
            "fax_number": "770-450-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 MCEVER RD STE 205",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305045542",
            "telephone_number": "770-450-9900",
            "fax_number": "770-450-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODSON",
        "first_name": "KELLEY",
        "name_prefix": "Mrs.",
        "credential": "LPC, CPCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-21",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC009024",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC003922",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC009024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003209993A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLEY",
            "last_name": "AUNGST",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emory Van DO, M.D.
• Kourtney Lauren Dockery, LPC
• Whitney Leanne Dockery, CNM
• Jennifer Erin Dodd, AGACNP
• Sheriff Nii Ofei Dodoo, M.D.
• Sara Katherine Doerr
• Diane Arlene Doherty-Chandler, RN, MS, CPNP, NNP-BC
• Sylvia T Dold, DO
• Morgan Dollar, PA-C
• Bhargavi Donepudi, M.D

• Professional Counselor in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.

Verify at the official NPI Registry.