Byron Kellam, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

004651 Issued in GA

Practice address

3292 Thornecreek Dr
Douglasville, GA 30135-8124

Phone

(404) 557-0747

NPI assigned

Jun 7, 2010

Sex

Male

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

Practice roles

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.

• Byron Kellam & Associates, Inc

  • Professional Counselor
  • Atlanta, GA
  • NPI 1518679307
  NPD Authorized official

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1679893259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3292 THORNECREEK DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301358124",
            "telephone_number": "404-557-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3292 THORNECREEK DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301358124",
            "telephone_number": "404-557-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLAM",
        "first_name": "BYRON",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-07",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "004651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kay One Source LLC
• Rachel Leanne Kay, PT, DPT, CSCS
• Rachel Lynn Kaywood, PHARMD
• Keep Your Dignity Agency, LLC
• Ashton Kell, RBT
• Ryan Kelley, PHARMD
• Debra A Kemp
• E'Asha Kemp, RBT
• Kira Kendall, BA ASSISTANT
• Rajeen Keys, PHARMD

• Professional Counselor in Douglasville, GA
• Providers in Douglasville, 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 23, 2022; 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.