Individual provider Active NPI

Kari Suzanne Dunn, LPC

  • Professional Counselor
  • Blakely, GA
National Provider Identifier
1699475053
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
APC007866 Issued in GA
Practice address
763 Jesse Johnson Dr
Blakely, GA 39823-3224
Phone
(229) 724-2050
NPI assigned
Mar 6, 2023
Last updated
Jan 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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 APC007866 GA Primary

Addresses

Primary practice location

763 Jesse Johnson Dr
Blakely, GA 39823-3224

Mailing address

763 Jesse Johnson Dr
Blakely, GA 39823-3224
Phone (229) 724-2050

Other practice location 1

9428 Spooner Quarter Rd
Blakely, GA 39823-9125
Phone (229) 202-0769

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
I20240124004572 GA Practitioner - Mental Health Counselor 2860845955 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sailor Health Medical PAGroup PAC ID 4486182342, 301 clinicians
Albany Area Community SVC. BoardGroup PAC ID 9032190483, 19 clinicians

Practice addresses (Care Compare)

1372 Peachtree St NE
Ofc 221
Atlanta, GA 30309-3248
Phone (240) 201-3386

601 11TH Ave
Albany, GA 31701-1645
Phone (229) 430-4140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APC007866GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Area Community SVC. Board CurrentSince Jan 5, 2024 Accepting new patients

Locations

601 11th Ave
Albany, GA 31701
Phone (229) 352-9368

763 Jesse Johnson Dr
Blakely, GA 39823
Phone (229) 430-4002

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1699475053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 JESSE JOHNSON DR",
            "city": "BLAKELY",
            "state": "GA",
            "postal_code": "398233224",
            "telephone_number": "229-724-2050",
            "fax_number": "229-724-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 JESSE JOHNSON DR",
            "city": "BLAKELY",
            "state": "GA",
            "postal_code": "398233224",
            "telephone_number": "229-724-2050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9428 Spooner Quarter Rd",
            "address_purpose": "LOCATION",
            "city": "Blakely",
            "state": "GA",
            "postal_code": "398239125",
            "country_code": "US",
            "telephone_number": "229-202-0769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNN",
        "first_name": "KARI",
        "middle_name": "SUZANNE",
        "name_prefix": "Miss",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2024-01-08",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC007866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blakely, GA

Sources for this page

Verify at the official NPI Registry.