Individual provider Active NPI

Meredith Kloth, MS, LAPC, NCC

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1790141612
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
APC003288 Issued in GA
Practice address
464 Cherokee Ave SE
Ste 202
Atlanta, GA 30312-3260
Phone
(678) 718-7565
NPI assigned
Jan 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2016

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 APC003288 GA Primary

Addresses

Primary practice location

464 Cherokee Ave SE
Ste 202
Atlanta, GA 30312-3260

Mailing address

464 Cherokee Ave SE
Ste 202
Atlanta, GA 30312-3260
Phone (678) 718-7565

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

State licenses

LicenseStateTypeSpecialty
APC003288GAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1790141612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 CHEROKEE AVE SE",
            "address_2": "STE 202",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303123260",
            "telephone_number": "678-718-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 CHEROKEE AVE SE",
            "address_2": "STE 202",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303123260",
            "telephone_number": "678-718-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOTH",
        "first_name": "MEREDITH",
        "name_prefix": "Ms.",
        "credential": "MS, LAPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC003288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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.