Kayla Elizabeth Ivory, APC, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APC009380 Issued in GA

Practice address

205 Brandywine Blvd Unit a
Fayetteville, GA 30214-7651

Phone

(404) 539-8970

NPI assigned

Dec 15, 2021

Last updated

Dec 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• Discovery Counseling and Assessment Center, LLC

  • Professional Counselor
  • Sharpsburg, GA
  • NPI 1629439617
  Medicare reassignment

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1952060121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 TERRANE RDG",
            "city": "PEACHTREE CTY",
            "state": "GA",
            "postal_code": "302694015",
            "telephone_number": "678-457-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 BRANDYWINE BLVD UNIT A",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147651",
            "telephone_number": "404-539-8970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3904 Gallatin Pike",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372162406",
            "country_code": "US",
            "telephone_number": "615-227-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "419 Welshwood Dr",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372114206",
            "country_code": "US",
            "telephone_number": "615-953-0050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IVORY",
        "first_name": "KAYLA",
        "middle_name": "ELIZABETH",
        "credential": "APC, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-15",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC009380",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Insideout Dynamics, Inc.
• Integrity Solutions Group USA LLC
• Irie Community Living LLC
• Island Treasures Homecare Inc.
• Yussuf Jaffar Ismail, MD
• J. Rena Owsley-Brown
• Barbara Joie Jacala, LAC AEMP
• Jarryd A Jackson, PHARMD
• Lasonya Z Jackson
• Malinda Jackson

• Mental Health Counselor in Fayetteville, GA
• Providers in Fayetteville, 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 Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.