Kelly Grant Stephens, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

NA

Practice address

4200 Northside Pkwy NW BLDG 6
Atlanta, GA 30327-3007

Phone

(678) 757-4058

NPI assigned

Jan 23, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1457981938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 NORTHSIDE PKWY NW BLDG 6",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303273007",
            "telephone_number": "678-757-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 NORTHSIDE PKWY NW BLDG 6",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303273007",
            "telephone_number": "678-757-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "KELLY",
        "middle_name": "GRANT",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Samuel Stephens, M.D.
• Desiree Bernadette Stephens, PASTOR
• George Stephens, C.R.T.
• Joshua Stephens, MD
• Keena Stephens, LPN
• Lauren Stephens
• Melisa Gale Stephens, NP
• Nashawna Stephens
• Richard N Stephens, MD
• Sandra Stephens, OTR/L

• Marriage & Family Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.