Kathleen Deans, MED, APC, NCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

APC006491 Issued in GA

Practice address

1622 Mars Hill Rd Ste a
Watkinsville, GA 30677-4893

Phone

(706) 310-9046

Fax

(706) 310-9076

NPI assigned

Nov 4, 2019

Last updated

Nov 4, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1750925640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 HARDEN HILL RD APT 101",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306772496",
            "telephone_number": "706-614-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 MARS HILL RD STE A",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774893",
            "telephone_number": "706-310-9046",
            "fax_number": "706-310-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEANS",
        "first_name": "KATHLEEN",
        "credential": "MED, APC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "APC006491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Hunt Davis, LCSW
• Brooklynn Ridgeway Davis, PHARMD
• Lauren McKenzie Davis
• Jessica Dean, MS, BCBA
• Megan Elaine Dean
• Kimberly Decelle, LCSW
• Ellen Kendall Dellinger, APRN
• James M Delong, MD
• Prisca Delva, NP
• Allison Deroeck, LCSW

• Counselor in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.