Kimlyn Vondell Frett, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC011881 Issued in GA

Practice address

705 Stonebridge Park Circle
Lithonia, GA 30058-9047

Phone

(404) 468-3160

NPI assigned

Jan 28, 2021

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Bright Light Counseling & Coaching, LLC

  • Community/Behavioral Health Agency
  • Snellville, GA
  • NPI 1942968425
  NPD Authorized official

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1619568151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 STONEBRIDGE PARK CIRCLE",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300589047",
            "telephone_number": "404-468-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 STONEBRIDGE PARK CIRCLE",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300589047",
            "telephone_number": "404-468-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRETT",
        "first_name": "KIMLYN",
        "middle_name": "VONDELL",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC011881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bresha Shaw Franklin, PHARM D
• Gary Austin Freeman
• McArthur Freeman, M.D.
• Stevye Freeman
• Fresenius Medical Care Redan, LLC
• Oqueria Neon Frett
• Christine Fricker
• From Our Heart to Your Heart Personal Care Home
• Frontier Medical Equipment Providers
• Lakendra S Fulbright, D.C

• Professional Counselor in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.