Kenneth Christopher Haider-Bardill, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC008084 Issued in GA

Practice address

1060 Lena St NW
Atlanta, GA 30314-2953

Phone

(678) 488-0766

NPI assigned

Apr 3, 2012

Last updated

Mar 7, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Families First

  • Clinical Social Worker
  • Atlanta, GA
  • NPI 1477687507
  Medicare reassignment NPD Authorized official
• Families First

  • Community/Behavioral Health Agency
  • Smyrna, GA
  • NPI 1790988475
  NPD Authorized official

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1871859967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 LENA ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303142953",
            "telephone_number": "678-488-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 LENA ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303142953",
            "telephone_number": "678-488-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIDER-BARDILL",
        "first_name": "KENNETH",
        "middle_name": "CHRISTOPHER",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-03",
        "last_updated": "2022-03-07",
        "certification_date": "2022-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC003325",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henok Asmerom Hagos
• Natnael Alem Hagos
• Christopher David Hahn
• Regis William Haid Jr., M.D.
• Mehron Haidari, D.M.D.
• Ann Haight, MD
• Bria Denise Haile
• Eyerusalem Leulseged Haile, PHARM.D.
• Winta Haile, PHARM D
• Alem Belachew Hailemichael, PHARM D

• Professional Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.