Individual provider Active NPI

Kia Hansford, LPC

  • Professional Counselor
  • Austell, GA
National Provider Identifier
1427416924
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC008358 Issued in GA
Practice address
1810 Mulkey Rd Ste 202
Austell, GA 30106-1150
Phone
(770) 694-6349
Fax
(770) 299-3771
NPI assigned
Jan 29, 2016
Last updated
Sep 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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 LPC008358 GA Primary

Addresses

Primary practice location

1810 Mulkey Rd Ste 202
Austell, GA 30106-1150

Mailing address

PO Box 813581
Smyrna, GA 30081-8581
Phone (770) 873-2654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251208001600 GA Practitioner - Mental Health Counselor 0345733317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avant Behavioral Consultants IncGroup PAC ID 6709139975, 15 clinicians

Practice addresses (Care Compare)

1810 Mulkey Rd
Suite 202
Austell, GA 30106-1150
Phone (770) 694-6349

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC008358GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Avant Behavioral Consultants Inc CurrentSince Aug 29, 2025 Accepting new patients
Clearminds Behavioral Health LLC Professional PastSince Jun 18, 2023 Accepting new patients

Locations

1810 Mulkey Rd
Ste 202
Austell, GA 30106
Phone (470) 593-8652

880 Marietta Hwy
Ste 630366
Roswell, GA 30075
Phone (573) 999-0193

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1427416924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 813581",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300818581",
            "telephone_number": "770-873-2654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 MULKEY RD STE 202",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061150",
            "telephone_number": "770-694-6349",
            "fax_number": "770-299-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSFORD",
        "first_name": "KIA",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-29",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

Verify at the official NPI Registry.