Active NPI
Kathryn C Larisey, M.S.
- Professional Counselor
- Atlanta, GA
National Provider Identifier
1457527855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2995
- Practice address
- 7000 Peachtree Dunwoody Rd NE
Building 9 Ste 150
Atlanta, GA 30328-1655 - Phone
- (770) 399-5070
- NPI assigned
- May 6, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 2995 | GA | Primary |
Addresses
Primary practice location
7000 Peachtree Dunwoody Rd NE
Building 9 Ste 150
Atlanta, GA 30328-1655
Mailing address
7000 Peachtree Dunwoody Rd NE
Building 9 Ste 150
Atlanta, GA 30328-1655
Phone (770) 399-5070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 12, 2024 through Apr 12, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2995 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210032000000",
"number": "1457527855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7000 PEACHTREE DUNWOODY RD NE",
"address_2": "BUILDING 9 STE 150",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303281655",
"telephone_number": "770-399-5070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 PEACHTREE DUNWOODY RD NE",
"address_2": "BUILDING 9 STE 150",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303281655",
"telephone_number": "770-399-5070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARISEY",
"first_name": "KATHRYN",
"middle_name": "C",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-06",
"last_updated": "2008-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "2995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.