Individual provider Active NPI

Kayla Hendricks, LCSW

  • Mental Health Counselor
  • Athens, GA
National Provider Identifier
1972360287
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MSW010056 Issued in GA
Practice address
1 Huntington Rd Ste 703
Athens, GA 30606-7214
Phone
(706) 425-8900
NPI assigned
Mar 4, 2024
Last updated
Mar 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MSW010056 GA Primary

Addresses

Primary practice location

1 Huntington Rd Ste 703
Athens, GA 30606-7214

Mailing address

1 Huntington Rd Ste 703
Athens, GA 30606-7214
Phone (706) 425-8900

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250204000358 GA Practitioner - Clinical Social Worker 2163952391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Counseling Associates for Well-Being, LLCGroup PAC ID 1850753179, 12 clinicians

Practice addresses (Care Compare)

1 Huntington Rd
Suite 703
Athens, GA 30606-7214
Phone (706) 425-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MSW010056GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Associates for Well-Being LLC CurrentSince Jan 21, 2025 Accepting new patients

Locations

1 Huntington Rd
Ste 703
Athens, GA 30606
Phone 7064258900710

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1972360287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HUNTINGTON RD STE 703",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067214",
            "telephone_number": "706-425-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HUNTINGTON RD STE 703",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067214",
            "telephone_number": "706-425-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "KAYLA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2025-03-03",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "MSW010056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.