Individual provider Active NPI

Kiara Hollingworth

  • Mental Health Counselor
  • Scottdale, GA
National Provider Identifier
1912898818
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
511 Glendale Rd
Scottdale, GA 30079-1432
Phone
(404) 493-5993
Fax
(404) 493-5993
NPI assigned
Jul 10, 2025
Last updated
Jul 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

511 Glendale Rd
Scottdale, GA 30079-1432

Mailing address

511 Glendale Rd
Scottdale, GA 30079-1432
Phone (404) 493-5993

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

NPI Registry JSON

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

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1912898818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 GLENDALE RD",
            "city": "SCOTTDALE",
            "state": "GA",
            "postal_code": "300791432",
            "telephone_number": "404-493-5993",
            "fax_number": "404-493-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 GLENDALE RD",
            "city": "SCOTTDALE",
            "state": "GA",
            "postal_code": "300791432",
            "telephone_number": "404-493-5993",
            "fax_number": "404-493-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINGWORTH",
        "first_name": "KIARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottdale, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.