Mrs Kelly Waggoner, LPCC - Counselor in Lilburn, GA

Mrs Kelly Waggoner, LPCC is a Counselor - Mental Health based in Lilburn, Georgia. Mrs Kelly Waggoner is licensed to practice in New Mexico (license number CCHM0207621) and her current practice location is 5165 Bowers Brook Dr Sw, Lilburn, Georgia. She can be reached at her office (for appointments etc.) via phone at (505) 695-1613.

NPI number for Mrs Kelly Waggoner is 1730501511 and her current mailing address is 5165 Bowers Brook Dr Sw, Lilburn, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730501511.

Contact Information

Mrs Kelly Waggoner, LPCC
5165 Bowers Brook Dr Sw,
Lilburn, GA 30047-5172
(505) 695-1613
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMrs Kelly Waggoner
GenderFemale
SpecialityCounselor - Mental Health
Location5165 Bowers Brook Dr Sw, Lilburn, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1730501511
  • Provider Enumeration Date: 01/13/2014
  • Last Update Date: 07/20/2020

Medical Identifiers

Medical identifiers for Mrs Kelly Waggoner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730501511NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health CCHM0207621 (New Mexico)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kelly Waggoner is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Kelly Waggoner, LPCC
5165 Bowers Brook Dr Sw,
Lilburn, GA 30047-5172

Ph: (505) 695-1613
Mrs Kelly Waggoner, LPCC
5165 Bowers Brook Dr Sw,
Lilburn, GA 30047-5172

Ph: (505) 695-1613

Reviews and Comments


Counselor in Lilburn, GA

Ameleo D Manuel, M.A. LPCA. NCC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 4566 Lawrenceville Hwy Nw Ste 101, Lilburn, GA 30047
Phone: 770-217-7563    Fax: 770-818-5753
Ms. Tinesha A Sallard, MS
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 4388 Amberleaf Walk, Lilburn, GA 30047
Phone: 267-304-5909    
Dr. David S. White, PHD
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1025 Killian Hill Rd Sw Ste J, Lilburn, GA 30047
Phone: 857-277-3352    
Judi Michelle Winbush, LAPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1373 Crooked Tree Ct Sw, Lilburn, GA 30047
Phone: 404-452-0324    
Nicole Fuentes, LPC, LMHC, NCC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 5440 Lawrenceville Hwy Nw, Lilburn, GA 30047
Phone: 678-802-9355    Fax: 678-802-9355
Ms. Melodie Anne (or Desanto) Head,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 733 Village Creek Dr Sw, Lilburn, GA 30047
Phone: 770-381-1273    
Dr. Lisa Monette Tait, LPC
Counselor
Medicare: Medicare Enrolled
Practice Location: 5238 Ashley Dr Sw, Lilburn, GA 30047
Phone: 770-356-0101    Fax: 770-925-0305

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.