Katie Nelson, LPC, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC006115 Issued in GA

Legal business name

KATIE NELSON, LPC, LLC

Practice address

465 N Belair Rd
Ste 2D
Evans, GA 30809-3188

Phone

(706) 651-9647

NPI assigned

Aug 24, 2011

Last updated

Aug 24, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katie Daniel Nelson, LPCNPI 1215004304

Title

Professional Counselor

Phone

(706) 975-6284

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Katie Daniel Nelson

  • Professional Counselor
  • Evans, GA
  • NPI 1215004304
  NPD (past) Authorized official

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1386924157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 N BELAIR RD",
            "address_2": "STE 2D",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093188",
            "telephone_number": "706-651-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 N BELAIR RD",
            "address_2": "STE 2D",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093188",
            "telephone_number": "706-651-9647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATIE NELSON, LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "706-975-6284",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003107424A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathy B Kallmann, LPC
• Clint Karamath Jr., DC
• Fanta Elizabeth Kasiah, M.D.
• Srinivasa Venkata Siva Kumar Kasina, MBBS
• Teru Kassner
• Lakeshia Mae Kauffman, ABOC, NCLEC, LDO
• Poonaminder Kaur, MD
• James Benjamin Kay IV, M.D.
• Emma K Keeler, PA
• Mark Bernard Keen

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.