Jessica Elaine Kirby, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC013121 Issued in GA

Practice address

150 Danbury CT
Athens, GA 30605-3932

Phone

(706) 207-4328

NPI assigned

Oct 6, 2022

Last updated

Oct 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1689399214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 DANBURY CT",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306053932",
            "telephone_number": "706-207-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 DANBURY CT",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306053932",
            "telephone_number": "706-207-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "JESSICA",
        "middle_name": "ELAINE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC013121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@eponatherapeutics.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "info@eponatherapeutics.org",
            "address_1": "150 Danbury Ct",
            "city": "Athens",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306053932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarvotham Kini, MD
• Chelsea Alexandra Kinney
• Colleen Kinsella
• Katherine Kinsler
• Kiravani Voice
• Carey Kirk, LAPC
• Kristen Nicole Kiser, PTA
• Phyllis Pittard Kiser, LPC
• Stacey Kisil, ATC, CAT(C), CSCS
• Rebekah Kitchens

• Mental Health Counselor in Athens, GA
• Providers in Athens, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.