Organization Active NPI

Kim L Roberts

Doing business as Fresh Air Counseling

  • Professional Counselor
  • Marietta, GA
National Provider Identifier
1699172684
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC008144 Issued in GA
Legal business name
KIM L ROBERTS
Doing business as
Fresh Air Counseling
Practice address
1511 Johnson Ferry Rd Ste 125
Marietta, GA 30062-6403
Phone
(770) 703-9031
Fax
(404) 689-6679
NPI assigned
Nov 19, 2014
Last updated
Mar 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
Kim Land Roberts, LPC, CPCSNPI 1891168373
Title
Therapist/Counselor
Phone
(770) 355-2381

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC008144 GA
Professional Counselor 101YP2500X LPC008144 GA Primary

Addresses

Primary practice location

1511 Johnson Ferry Rd Ste 125
Marietta, GA 30062-6403

Mailing address

1801 Baldwin Farms Dr
Marietta, GA 30068-1555
Phone (770) 355-2381

Other identifiers 2

IdentifierTypeStateIssuer
003333570AMedicaidGA
1003066077MedicaidGA

Other names 1

  • Fresh Air Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

1511 Johnson Ferry Rd
Ste 125
Marietta, GA 30062
Phone (678) 216-2674

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1699172684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 BALDWIN FARMS DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300681555",
            "telephone_number": "770-355-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 JOHNSON FERRY RD STE 125",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626403",
            "telephone_number": "770-703-9031",
            "fax_number": "404-689-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM L ROBERTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-19",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "LAND",
        "authorized_official_title_or_position": "THERAPIST/COUNSELOR",
        "authorized_official_telephone_number": "770-355-2381",
        "authorized_official_credential": "LPC, CPCS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC008144",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003333570A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003066077",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresh Air Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.