KELLI KACZMAREK (NPI# 1144842352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144842352 |
| Entity Type | Individual |
| Full Name | KELLI KACZMAREK |
| Credential | MA |
| Practice Address |
9829 Us-19 Zebulon GA 30295 |
| Mailing Address |
236 N Old Alabama Rd Thomaston GA 30286-1875 |
| Practice Telephone | 7708413975 |
| Mailing Telephone | 7069754803 |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
9829 US-19 |
| City | ZEBULON |
| State | GA |
| Zip Code | 30295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730710914 | Servemed, Inc | Pharmacy | 10263 Us Hwy 19, Suite 226, 226 Plaza Drive, Zebulon, GA 30295 | 2020-01-28 |
| 1497134308 | Eva White | Nurse Practitioner | 1070 County Farm Rd, Williamson, GA 30295 | 2015-05-26 |
| 1780017822 | Palmetto Family Dental of Pike County | Clinic/Center | 15988 Barnesville St., Zebulon, GA 30295 | 2013-08-13 |
| 1043352271 | Kenneth David Gaskins | Pharmacist | 119 Concord Street, Zebulon, GA 30295 | 2007-02-13 |
| 1497821862 | Donna Michelle Haney | Family Medicine | 16125 Barnesville Street, Zebulon, GA 30295 | 2006-11-28 |
| 1669543476 | Pike County Board of Education | Local Education Agency (LEA) | 115 West Jackson Street, Zebulon, GA 30295 | 2006-11-13 |
| 1457440364 | Pike County Health Department | Registered Nurse | 541 Griffin Street, Zebulon, GA 30295 | 2006-10-11 |
| 1346353919 | Frank W. Kirby | Dentist | 7233 Us Highway 19, Zebulon, GA 30295 | 2006-08-16 |
| 1417941998 | Pike County Health Department | Public Health or Welfare | 541 Griffin Str., Zebulon, GA 30295 | 2005-09-09 |
| 1093255481 | Jessica Ridgeway | Marriage & Family Therapist | 1070 County Farm Rd, Zebulon, GA 30295 | 2017-03-03 |
| Find all providers in zip 30295 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982172391 | Brandi Gibson | Counselor | 4005 Quarry Rd, Zebulon, NC 27597-8788 | 2018-11-05 |
| 1457778953 | Candice Halley | Counselor | 234 Pineview Dr, Zebulon, NC 27597-8226 | 2014-03-21 |
| 1093145468 | Alicia Lashae Almon | Counselor | 34 Evans St, Zebulon, GA 30295-6764 | 2013-11-20 |
| 1982902052 | Jones Outreach Services, LLP | Counselor | 229 N Arendell Ave, Zebulon, NC 27597-2603 | 2011-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780859 | Jennifer Lynn Fedderick | Counselor | 459 Thrasher Rd, Plains, GA 31780-5310 | 2020-11-04 |
| 1376144766 | Arlicia Lagene Johnson | Counselor | 220 Osmanthus Way, Canton, GA 30114-7197 | 2020-11-03 |
| 1558962027 | Evan Kauper | Counselor | 2002 Smith Dr Nw, Kennesaw, GA 30144-1851 | 2020-11-02 |
| 1801496864 | Poonam A Patel | Counselor | 2916 Clairmont Rd Ne Apt 2413, Brookhaven, GA 30329-4476 | 2020-10-29 |
| 1740880061 | Pledger Behavior Consulting, LLC | Counselor | 7563 Highway 337, Summerville, GA 30747-6101 | 2020-10-27 |
| 1801495411 | Bianca Tiara Abrams | Counselor | 916 Glenwood Park Dr Se, Atlanta, GA 30316-6845 | 2020-10-23 |
| 1780283713 | Stacey Dougan | Counselor | 696 Mountain Dr Ne, Atlanta, GA 30342-3904 | 2020-10-21 |
| 1619576865 | Therapy Pond, LLC | Counselor | 1262 Concord Rd Se Ste 200, Smyrna, GA 30080-5307 | 2020-10-20 |
| 1164021259 | Miracles Outreach International | Counselor | 6825 Jimmy Carter Blvd Ste 1570b, Norcross, GA 30071-1215 | 2020-10-20 |
| 1699374025 | Alexxis Trimmings | Counselor | 205 W Montgomery Xrd Apt 106, Savannah, GA 31406-7121 | 2020-10-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.