Active NPI
Donna Kristina Kemp, MED, NCC, LPC
- Professional Counselor
- Stone Mountain, GA
National Provider Identifier
1437601424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC009144
- Practice address
- 2300 W Park Place Blvd
Stone Mountain, GA 30087-6713 - Phone
- (678) 330-1400
- NPI assigned
- Oct 26, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC009144 | GA | Primary |
Addresses
Primary practice location
2300 W Park Place Blvd
Stone Mountain, GA 30087-6713
Mailing address
44 Waverly Dr
Fort Mitchell, AL 36856-4427
Phone (407) 414-5523
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC009144 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| N'Perfect Balance, Inc | Professional | 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": "1477440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477440000000",
"number": "1437601424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 WAVERLY DR",
"city": "FORT MITCHELL",
"state": "AL",
"postal_code": "368564427",
"telephone_number": "407-414-5523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 W PARK PLACE BLVD",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300876713",
"telephone_number": "678-330-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMP",
"first_name": "DONNA",
"middle_name": "KRISTINA",
"name_prefix": "Mrs.",
"credential": "MED, NCC, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-26",
"last_updated": "2016-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC009144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.