Active NPI
Grace Keely, LPC
- Professional Counselor
- Hiram, GA
National Provider Identifier
1932448099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC006507
- Practice address
- 4 Cross Pointe Way
Hiram, GA 30141-5481 - Phone
- (678) 499-3017
- Fax
- (770) 445-7262
- NPI assigned
- Feb 11, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | LPC006507 | GA | Primary |
Addresses
Primary practice location
4 Cross Pointe Way
Hiram, GA 30141-5481
Mailing address
4 Cross Pointe Way
Hiram, GA 30141-5481
Phone (678) 499-3017
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 |
|---|---|---|---|
| LPC006507 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360540800000",
"number": "1932448099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 CROSS POINTE WAY",
"city": "HIRAM",
"state": "GA",
"postal_code": "301415481",
"telephone_number": "678-499-3017",
"fax_number": "770-445-7262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 CROSS POINTE WAY",
"city": "HIRAM",
"state": "GA",
"postal_code": "301415481",
"telephone_number": "678-499-3017",
"fax_number": "770-445-7262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEELY",
"first_name": "GRACE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-11",
"last_updated": "2013-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC006507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hiram, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.