Individual provider Active NPI

Kiahni Alexis Vann, LAPC

  • Professional Counselor
  • Decatur, GA
National Provider Identifier
1396979704
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
APC002129 Issued in GA
Practice address
4319 Covington Hwy
Suite #214
Decatur, GA 30035-1210
Phone
(404) 200-0334
Fax
(404) 287-1807
NPI assigned
May 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X APC002129 GA Primary

Addresses

Primary practice location

4319 Covington Hwy
Suite #214
Decatur, GA 30035-1210

Mailing address

4319 Covington Hwy
Suite #214
Decatur, GA 30035-1210
Phone (404) 200-0334

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
APC002129GAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242172800000",
    "number": "1396979704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4319 COVINGTON HWY",
            "address_2": "SUITE #214",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300351210",
            "telephone_number": "404-200-0334",
            "fax_number": "404-287-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4319 COVINGTON HWY",
            "address_2": "SUITE #214",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300351210",
            "telephone_number": "404-200-0334",
            "fax_number": "404-287-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANN",
        "first_name": "KIAHNI",
        "middle_name": "ALEXIS",
        "name_prefix": "Ms.",
        "credential": "LAPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-13",
        "last_updated": "2009-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC002129",
            "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 May 13, 2009; 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.