Individual provider Active NPI

Kim Valdes, LPC

  • Professional Counselor
  • Alpharetta, GA
National Provider Identifier
1487098786
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC008329 Issued in GA
Practice address
310 Maxwell Rd
Suite 600a
Alpharetta, GA 30009-2065
Phone
(404) 957-4317
Fax
(770) 343-8926
NPI assigned
Apr 18, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC008329 GA Primary
Mental Health Counselor 101YM0800X LPC008329 GA

Addresses

Primary practice location

310 Maxwell Rd
Suite 600a
Alpharetta, GA 30009-2065

Mailing address

550 Kimball Crest CT
Alpharetta, GA 30022-6419
Phone (404) 957-4317

Other names 1

  • Mrs. Kim Valdes Professional name

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

State licenses

LicenseStateTypeSpecialty
LPC008329GAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1487098786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 KIMBALL CREST CT",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300226419",
            "telephone_number": "404-957-4317",
            "fax_number": "877-505-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MAXWELL RD",
            "address_2": "SUITE 600A",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092065",
            "telephone_number": "404-957-4317",
            "fax_number": "770-343-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDES",
        "first_name": "KIM",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-18",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008329",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC008329",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "VALDES",
            "prefix": "MRS.",
            "credential": "LAPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.