Individual provider Active NPI

Kirsten Paige Jones, L.P.C.

  • Professional Counselor
  • Acworth, GA
National Provider Identifier
1992085187
Registry record updated Nov 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC006674 Issued in GA
Practice address
6247 Little Ridge Rd
Acworth, GA 30102-1632
Phone
(256) 239-6659
Fax
(833) 759-1551
NPI assigned
Aug 19, 2011
Last updated
Nov 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC006674 GA Primary
Mental Health Counselor 101YM0800X LPC006674 GA

Addresses

Primary practice location

6247 Little Ridge Rd
Acworth, GA 30102-1632

Mailing address

6247 Little Ridge Rd
Acworth, GA 30102-1632
Phone (256) 239-6659

Other identifiers 1

IdentifierTypeStateIssuer
003165723AMedicaidGA

Other names 1

  • Kirsten Paige Stephenson Former name

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
I20240219003170 GA Practitioner - Mental Health Counselor 2668816547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6247 Little Ridge Rd
Acworth, GA 30102-1632
Phone (256) 239-6659

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC006674GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
KP Jones Counseling, LLC Professional CurrentSince Jan 1, 2024 Accepting new patients

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": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700265600000",
    "number": "1992085187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6247 LITTLE RIDGE RD",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301021632",
            "telephone_number": "256-239-6659",
            "fax_number": "833-759-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6247 LITTLE RIDGE RD",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301021632",
            "telephone_number": "256-239-6659",
            "fax_number": "833-759-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KIRSTEN",
        "middle_name": "PAIGE",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-19",
        "last_updated": "2023-11-18",
        "certification_date": "2023-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006674",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC006674",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003165723A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTEN",
            "last_name": "STEPHENSON",
            "middle_name": "PAIGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Acworth, GA

Sources for this page

Verify at the official NPI Registry.