Individual provider Active NPI

Karen Lill, LPC, ATR, ACS, NCC

  • Professional Counselor
  • Chamblee, GA
National Provider Identifier
1356882922
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC011953 Issued in GA
Practice address
3720 Chamblee Dunwoody Rd Ste D2
Chamblee, GA 30341-2064
Phone
(678) 744-6750
NPI assigned
Mar 16, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X 18-041
Professional Counselor 101YP2500X LPC011953 GA Primary

Addresses

Primary practice location

3720 Chamblee Dunwoody Rd Ste D2
Chamblee, GA 30341-2064

Mailing address

3720 Chamblee Dunwoody Rd Ste D2
Chamblee, GA 30341-2064
Phone (678) 744-6750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 2, 2024 through Feb 2, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC011953GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Transitional Family Sevices Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1356882922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 CHAMBLEE DUNWOODY RD STE D2",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303412064",
            "telephone_number": "678-744-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 CHAMBLEE DUNWOODY RD STE D2",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303412064",
            "telephone_number": "678-744-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILL",
        "first_name": "KAREN",
        "credential": "LPC, ATR, ACS, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-16",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": "18-041",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC011953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chamblee, GA

Sources for this page

Verify at the official NPI Registry.