Kelly Pierce, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC013784 Issued in GA

Practice address

1244 Clairmont Rd Ste 102
Decatur, GA 30030-1250

Phone

(678) 235-8968

NPI assigned

Jan 16, 2021

Last updated

Aug 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Opted out of Medicare

Previously, effective Aug 21, 2024 through Aug 21, 2026

Medicare enrollment (NPD)

Not 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.

• Kula Wellness Inc

  dba Kula Wellness Group

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Decatur, GA
  • NPI 1902542202
  NPD

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

{
    "created_epoch": "1610755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1922697630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 CLAIRMONT RD STE 102",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 CLAIRMONT RD STE 102",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301250",
            "telephone_number": "678-235-8968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "KELLY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-16",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC013784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physiotherapy Asssociates Inc (Physio-Decatur)
• Piedmont Minor Emergency Clinic 2 LLC
• Piedmont Minor Emergency Clinic PC
• Ashley Pier
• Kelley Pierce, PTA
• Mary Beth Pierce
• Timothy Pierce, PA-C
• Rebecca Pihera, APRN-BC
• Isabella Maria Pimentel
• Emily Pina, BCBA, MA, RBT

• Mental Health Counselor in Decatur, GA
• Providers in Decatur, 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 Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.