Active NPI
Kimberley Vrana
- Professional Counselor
- Jonesboro, GA
National Provider Identifier
1801049911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC005391
- Practice address
- 212 Arrowhead Blvd
Jonesboro, GA 30236-1102 - Phone
- (770) 471-8110
- NPI assigned
- Nov 3, 2008
- Last updated
- Dec 15, 2008
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC005391 | GA | Primary |
Addresses
Primary practice location
212 Arrowhead Blvd
Jonesboro, GA 30236-1102
Mailing address
1222 Brookhaven Park PL NE
Atlanta, GA 30319-4566
Phone (404) 395-4453
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC005391 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229299200000",
"number": "1801049911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1222 BROOKHAVEN PARK PL NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303194566",
"telephone_number": "404-395-4453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 ARROWHEAD BLVD",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302361102",
"telephone_number": "770-471-8110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VRANA",
"first_name": "KIMBERLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-03",
"last_updated": "2008-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC005391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jonesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.