Individual provider Active NPI

Sammy Kanso, MS, LAPC, NCC

  • Mental Health Counselor
  • Kennesaw, GA
National Provider Identifier
1659064558
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC016292 Issued in GA
Practice address
4290 Bells Ferry Rd NW Ste 134-2134
Kennesaw, GA 30144-7140
Phone
(404) 913-1615
NPI assigned
May 29, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC016292 GA Primary

Addresses

Primary practice location

4290 Bells Ferry Rd NW Ste 134-2134
Kennesaw, GA 30144-7140

Mailing address

4290 Bells Ferry Rd NW Ste 134-2134
Kennesaw, GA 30144-7140
Phone (404) 913-1615

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
APC009381GAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1659064558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4290 BELLS FERRY RD NW STE 134-2134",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447140",
            "telephone_number": "404-913-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4290 BELLS FERRY RD NW STE 134-2134",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447140",
            "telephone_number": "404-913-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANSO",
        "first_name": "SAMMY",
        "credential": "MS, LAPC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-29",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC016292",
            "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 Aug 21, 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.