Kimberly Kirk Openo, LAPC CMFT NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

APC004260 Issued in GA

Practice address

3355 Medlock Bridge Rd
Norcross, GA 30092-3009

Phone

(678) 571-7616

NPI assigned

Dec 9, 2014

Last updated

Dec 9, 2014By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1649678442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 MEDLOCK BRIDGE RD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300923009",
            "telephone_number": "678-571-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 MEDLOCK BRIDGE RD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300923009",
            "telephone_number": "678-571-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPENO",
        "first_name": "KIMBERLY",
        "middle_name": "KIRK",
        "name_prefix": "Ms.",
        "credential": "LAPC CMFT NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-09",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC004260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.