KAITLYN IDE LPC NPI 1497485007

NPI Information

  • NPI: 1497485007
  • Provider Name: KAITLYN IDE, LPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2270 CAPE COURAGE WAY
    SUWANEE, GA
    ZIP 30024
  • Phone: (470) 201-7804

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NPI Details

Kaitlyn Ide, LPC is a mental health counselor in Suwanee, GA with 6 years of experience. Kaitlyn Ide, LPC NPI is 1497485007. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2270 CAPE COURAGE WAY
SUWANEE, GA
ZIP 30024-762
Phone: (470) 201-7804

The NPI 1497485007 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 6/15/2022 and was last updated on 10/3/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthLPC13028GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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