Kathy Wagner Counseling Services LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC006769 Issued in GA

Legal business name

KATHY WAGNER COUNSELING SERVICES LLC

Practice address

262 S Peachtree Pkwy
Ste 4
Peachtree City, GA 30269-1751

Phone

(678) 871-5927

Fax

(770) 995-1959

NPI assigned

Aug 21, 2013

Organization subpart

No

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

Authorized official

Name

Kathleen A Wagner, LPC

Title

Owner

Phone

(678) 871-5927

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1629402094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 MANOR DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302152959",
            "telephone_number": "678-871-5927",
            "fax_number": "770-995-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 S PEACHTREE PKWY",
            "address_2": "STE 4",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691751",
            "telephone_number": "678-871-5927",
            "fax_number": "770-995-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHY WAGNER COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-21",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-871-5927",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tundi Jones, LPC
• Imelda Joseph, M.S.
• Susan Kaku, PT
• Jennifer A Kalen, ARNP
• Stacy Karzin, D.C
• Linda H Katz, D.C.
• Nicole S Kearney, M.D.
• Lynn Matti Keel, LPCC
• Kekelo Medical Inc
• Lauren Christine Keller, CNM

• Professional Counselor in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.