Individual provider Active NPI

Lydia Walters, M.S., ED.S. LPC

  • Professional Counselor
  • Kennesaw, GA
National Provider Identifier
1518657600
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC016038 Issued in GA
Practice address
1301 Shiloh Rd NW Ste 710
Kennesaw, GA 30144-7157
Phone
(404) 242-8692
NPI assigned
May 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC016038 GA Primary

Addresses

Primary practice location

1301 Shiloh Rd NW Ste 710
Kennesaw, GA 30144-7157

Mailing address

1301 Shiloh Rd NW Ste 710
Kennesaw, GA 30144-7157
Phone (404) 242-8692

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 Science

State licenses

LicenseStateTypeSpecialty
LPC016038GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Paw and Peace Mental Health Counseling LLC Current Accepting new patients

Locations

1301 Shiloh Rd NW
Ste 710
Kennesaw, GA 30144
Phone (404) 242-8692

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": "1683763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1518657600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SHILOH RD NW STE 710",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447157",
            "telephone_number": "404-242-8692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SHILOH RD NW STE 710",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447157",
            "telephone_number": "404-242-8692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "LYDIA",
        "credential": "M.S., ED.S. LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-11",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC016038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.