Individual provider Active NPI

Kimberly Hardy, L.A.P.C.

  • Counselor
  • Suwanee, GA
National Provider Identifier
1679800692
Registry record updated Nov 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
APC002011 Issued in GA
Practice address
4021 McGinnis Ferry Rd Apt 224
Suwanee, GA 30024-8310
Phone
(404) 610-9742
Fax
(770) 945-9116
NPI assigned
Nov 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X APC002011 GA Primary
Mental Health Counselor 101YM0800X APC002011 GA

Addresses

Primary practice location

4021 McGinnis Ferry Rd Apt 224
Suwanee, GA 30024-8310

Mailing address

4021 McGinnis Ferry Rd Apt 224
Suwanee, GA 30024-8310
Phone (404) 610-9742

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

State licenses

LicenseStateTypeSpecialty
APC002011GAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257897600000",
    "number": "1679800692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 MCGINNIS FERRY RD APT 224",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300248310",
            "telephone_number": "404-610-9742",
            "fax_number": "770-945-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 MCGINNIS FERRY RD APT 224",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300248310",
            "telephone_number": "404-610-9742",
            "fax_number": "770-945-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "KIMBERLY",
        "name_prefix": "Ms.",
        "credential": "L.A.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-11",
        "last_updated": "2009-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "APC002011",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC002011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; 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.