Active NPI
Kelly Anne McCarthy, MS
- Counselor
- Woodstock, GA
National Provider Identifier
1720013188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 7450 Highway 92
Suite 110
Woodstock, GA 30189-5235 - Phone
- (770) 926-0005
- Fax
- (770) 926-0762
- NPI assigned
- Jul 12, 2006
- Last updated
- Oct 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
7450 Highway 92
Suite 110
Woodstock, GA 30189-5235
Mailing address
340 Green Oak RDG
Marietta, GA 30068-4808
Phone (770) 973-3845
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Comprehensive Services | Past | Accepting new patients | |
| Kim L Roberts | Past | Accepting new patients | |
| North Georgia Psychotherapy Services LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Professional Counselor
- Atlanta, GA
- NPI 1033321583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191369600000",
"number": "1720013188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 GREEN OAK RDG",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300684808",
"telephone_number": "770-973-3845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7450 HIGHWAY 92",
"address_2": "SUITE 110",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301895235",
"telephone_number": "770-926-0005",
"fax_number": "770-926-0762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "KELLY",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2007-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.