Individual provider Active NPI

Katie Meade, LPC

  • Professional Counselor
  • Dallas, GA
National Provider Identifier
1689394058
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC011826 Issued in GA
Practice address
110 Evans Mill Dr Ste 306
Dallas, GA 30157-1623
Phone
(770) 546-5324
NPI assigned
Aug 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC011826 GA Primary

Addresses

Primary practice location

110 Evans Mill Dr Ste 306
Dallas, GA 30157-1623

Mailing address

47 Wood Valley Dr
Dallas, GA 30157-0502
Phone (770) 546-5324

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240311002640 GA Practitioner - Mental Health Counselor 5597101725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Northrop Connection, LLCGroup PAC ID 6800104506, 8 clinicians

Practice addresses (Care Compare)

702 W Memorial Dr
Dallas, GA 30132-4122
Phone (678) 332-7955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC011826GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Northrop Connection, LLC CurrentSince Feb 29, 2024 Accepting new patients

Locations

702 W Memorial Dr
Dallas, GA 30132
Phone (678) 332-7955

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1689394058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 WOOD VALLEY DR",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301570502",
            "telephone_number": "770-546-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 EVANS MILL DR STE 306",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301571623",
            "telephone_number": "770-546-5324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADE",
        "first_name": "KATIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC011826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, GA

Sources for this page

Verify at the official NPI Registry.