Kathy Haines, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC006856 Issued in NU

Practice address

3225 Shallowford Rd
Suite 710
Marietta, GA 30062-1266

Phone

(678) 654-9237

NPI assigned

Jun 25, 2012

Last updated

Nov 4, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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.

• Imagine Counseling Services, LLC

  • Mental Health Counselor
  • Marietta, GA
  • NPI 1619230620
  Authorized official Same address or phone

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1841554888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 SHALLOWFORD RD",
            "address_2": "SUITE 710",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300621266",
            "telephone_number": "678-654-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 SHALLOWFORD RD",
            "address_2": "SUITE 710",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300621266",
            "telephone_number": "678-654-9237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAINES",
        "first_name": "KATHY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": "LPC006856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Ernesto Hahn
• Ping Hai, D.D.S.
• Kenneth L Haile, MD
• Elizabeth Hails
• Kevin Haim, MD
• Jennifer Haire
• Kiyanna Hairston
• Peter Jeff Hairston, PA-C
• Simone Hairston
• Leslie A Haizlip, CNM

• Mental Health Counselor in Marietta, GA
• Providers in Marietta, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.