Kim L Neese, LPC, BCCC, CADC II,

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC007660 Issued in GA

Practice address

107 Harwell Ave
Lagrange, GA 30240-3131

Phone

(706) 594-1192

Fax

(706) 412-5017

NPI assigned

Oct 29, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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.

• Covenant Counsel, LLC

  • Professional Counselor
  • Lagrange, GA
  • NPI 1720977507
  NPD Authorized official
• Counseling Services of Lagrange, Inc.

  • Clinical Psychologist
  • Lagrange, GA
  • NPI 1790197804
  NPD (past)

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751068800000",
    "number": "1659776912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 SMOKEY RD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302419083",
            "telephone_number": "706-594-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 HARWELL AVE",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302403131",
            "telephone_number": "706-594-1192",
            "fax_number": "706-412-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEESE",
        "first_name": "KIM",
        "middle_name": "L",
        "credential": "LPC, BCCC, CADC II,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2025-06-28",
        "certification_date": "2025-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "423",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003169076A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madhavi M Naik, M.D.
• National Vision, Inc.
• National Vision, Inc.
• Donald C Neal Jr., DMD
• Cathy Neely
• Kristopher Nelson, DO
• Nephrology Consultants of West Georgia
• Neurology Center of West Georgia PC
• Robin Newman, RN
• Quoc Vinh Ngo, M.D

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.