Active NPI
Kellie Lassig, MS
- Mental Health Counselor
- Alpharetta, GA
National Provider Identifier
1467082065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC014242
- Practice address
- 4080 McGinnis Ferry Rd Ste 1304
Alpharetta, GA 30005-3951 - Phone
- (678) 740-3990
- NPI assigned
- Jan 22, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 9343 | SC | |
| Mental Health Counselor | 101YM0800X | LPC014242 | GA | Primary |
Addresses
Primary practice location
4080 McGinnis Ferry Rd Ste 1304
Alpharetta, GA 30005-3951
Mailing address
617 S Pine St
Seneca, SC 29678-3837
Other practice location 1
617 S Pine St
Seneca, SC 29678-3837
Phone (770) 830-4272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 8, 2024 through Jan 8, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC014242 | GA | MD | Mental Health Counselor |
| 9343 | SC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708905600000",
"number": "1467082065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "617 S PINE ST",
"city": "SENECA",
"state": "SC",
"postal_code": "296783837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4080 MCGINNIS FERRY RD STE 1304",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300053951",
"telephone_number": "678-740-3990"
}
],
"practiceLocations": [
{
"address_1": "617 S Pine St",
"address_purpose": "LOCATION",
"city": "Seneca",
"state": "SC",
"postal_code": "296783837",
"country_code": "US",
"telephone_number": "770-830-4272",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LASSIG",
"first_name": "KELLIE",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-22",
"last_updated": "2024-02-26",
"certification_date": "2024-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "9343",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC014242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alpharetta, GA
- Laura McSwain Lanford, SLP
- Lanier Supportive Medicine LLC
- Kasey M Lanier, MD
- Kenneth Charles Lanthier
- Laparoscopic & Endoscopic Surgery Institute, PC
- Robert Taylor Lathem, BCBA
- Mariam Labib Latif, M.D.
- Matthew Richmond Laudel, PT, DPT
- Laura Murphy Bleekrode, MD, PC/ Dba Alpharetta Pediatrics
- Martin M Lauzon, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.