Active NPI
Kathryn R Byrne, LPC
- Professional Counselor
- Snellville, GA
National Provider Identifier
1942770748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC009883
- Practice address
- 2330 Scenic Hwy S
Snellville, GA 30078-3115 - Phone
- (770) 547-5713
- NPI assigned
- Dec 5, 2018
- 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 | LPC009883 | GA | Primary |
Addresses
Primary practice location
2330 Scenic Hwy S
Snellville, GA 30078-3115
Mailing address
3489 Claude Brewer Rd
Loganville, GA 30052-3934
Phone (177) 601-4107
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 656192745 | Other | HPSO |
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 |
|---|---|---|---|
| LPC009883 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543968000000",
"number": "1942770748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3489 CLAUDE BREWER RD",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300523934",
"telephone_number": "177-601-4107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2330 SCENIC HWY S",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300783115",
"telephone_number": "770-547-5713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRNE",
"first_name": "KATHRYN",
"middle_name": "R",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-05",
"last_updated": "2018-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC009883",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPSO",
"identifier": "656192745",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.