Individual provider Active NPI

Kia Marie Bammes, LPC

  • Professional Counselor
  • Dacula, GA
National Provider Identifier
1578200069
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC012905 Issued in GA
Practice address
2776 Cove View CT
Dacula, GA 30019-4714
Phone
(470) 677-4147
NPI assigned
May 16, 2022
Last updated
May 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LPC012905 GA Primary

Addresses

Primary practice location

2776 Cove View CT
Dacula, GA 30019-4714

Mailing address

2776 Cove View CT
Dacula, GA 30019-4714
Phone (470) 677-4147

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://doxy.me/account/dashboard Direct

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
LPC012905GAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1578200069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2776 COVE VIEW CT",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300194714",
            "telephone_number": "470-677-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2776 COVE VIEW CT",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300194714",
            "telephone_number": "470-677-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMMES",
        "first_name": "KIA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC012905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://doxy.me/account/dashboard",
            "affiliation": "N",
            "endpointDescription": "emr",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "telehealth software",
            "address_1": "2776 Cove View Ct",
            "city": "Dacula",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300194714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dacula, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.