Katherine Staley

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC007666 Issued in GA

Practice address

3869 Evans Rd
Atlanta, GA 30340-4629

Phone

(404) 569-3541

NPI assigned

Feb 19, 2016

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Patricia Adams Counseling, LLC

  • Mental Health Counselor
  • Port Orange, FL
  • NPI 1578951596
  NPD (past)

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

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1962861872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3869 EVANS RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303404629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3869 EVANS RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303404629",
            "telephone_number": "404-569-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALEY",
        "first_name": "KATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-19",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC007666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Alan Stahura, DO
• Elena Lynn Stains, MD
• Bashar Samih Staitieh, M.D.
• Brenton Staley, DPT
• Charles Augustin Staley, MD
• Kimberly T Staley, CRNA
• Shayla Staley, RN
• Carrie Stallings, MD
• Chatney Stallings, BA
• Kenneth M Stallings, MD

• Mental Health Counselor in Atlanta, GA
• Providers in Atlanta, 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 Feb 19, 2016; 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.