Active NPI
Kathryn Agel
- Professional Counselor
- Watkinsville, GA
National Provider Identifier
1891363941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC011538
- Practice address
- 1551 Jennings Mill Rd Unit 2200a
Watkinsville, GA 30677-7270 - Phone
- (470) 236-1182
- NPI assigned
- Jun 15, 2021
- Last updated
- Jun 28, 2021
- 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 | LPC011538 | GA | Primary |
Addresses
Primary practice location
1551 Jennings Mill Rd Unit 2200a
Watkinsville, GA 30677-7270
Mailing address
1551 Jennings Mill Rd Unit 2200a
Watkinsville, GA 30677-7270
Phone (470) 236-1182
Other practice location 1
140 Anna Dr
Athens, GA 30606-3136
Phone (706) 829-2857
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 |
|---|---|---|---|
| LPC011538 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624838400000",
"number": "1891363941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1551 JENNINGS MILL RD UNIT 2200A",
"city": "WATKINSVILLE",
"state": "GA",
"postal_code": "306777270",
"telephone_number": "470-236-1182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1551 JENNINGS MILL RD UNIT 2200A",
"city": "WATKINSVILLE",
"state": "GA",
"postal_code": "306777270",
"telephone_number": "470-236-1182"
}
],
"practiceLocations": [
{
"address_1": "140 Anna Dr",
"address_purpose": "LOCATION",
"city": "Athens",
"state": "GA",
"postal_code": "306063136",
"country_code": "US",
"telephone_number": "706-829-2857",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGEL",
"first_name": "KATHRYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-15",
"last_updated": "2021-06-28",
"certification_date": "2021-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC011538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watkinsville, GA
- Activekidz and Adult Therapy Services
- Ryan Adams
- Adfc-Watkinsville PC (Athens Dentistry for Children)
- Advanced Gynecology PC
- Agape Hospice Care of Clarke County, LLC (Agape Hospice Care)
- Robert K Ahrens, M.D.
- Elizabeth Cavanah Albers, DNP
- Aletheia Health & Wellness LLC
- Gena D Alexander-Albert, MD
- Jan Brooks Allen, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.