1. Home
  2. Directory
  3. Georgia
  4. Brookhaven
  5. Counselor
  6. NPI Profile

KELLY PETERSON LCSW
NPI 1366923963
Counselor - Mental Health in Brookhaven, GA

Active since August 22, 2018
1777 NORTHEAST EXPY NE, BROOKHAVEN, GA 30329(404) 785-8200 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Peterson Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY PETERSON LCSW (NPI 1366923963) is an individual mental health provider in Brookhaven, Georgia and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1366923963
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY PETERSONCredential: LCSW
Location Address1777 NORTHEAST EXPY NEBrookhaven, GA 30329-2480
Mailing Address1777 Northeast Expy NeBrookhaven, GA 30329-2480
Phone(404) 785-8200
Sole ProprietorNo
Enumeration DateAugust 22, 2018
Last NPPES UpdateOctober 18, 2024
NPPES CertifiedOctober 18, 2024
✔ NPI 1366923963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1777 NORTHEAST EXPY NE, Brookhaven, GA 30329
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH TOWLES
Genetic Counselor, MS
1777 NORTHEAST EXPY NE
BROOKHAVEN, GA 30329
Dekalb County (404) 785-1003
DENISE MUNKOMBWE MAKALA MD
Pediatrics
1777 NORTHEAST EXPY NE, ZALIK BEHAVIORAL AND MENTAL HEALTH CENTER
BROOKHAVEN, GA 30329
Dekalb County (404) 785-7878
DR. SAMUEL JERMAINE MADDOX PH.D.
Psychologist (Clinical)
1777 NORTHEAST EXPY NE, SUITE 175
ATLANTA, GA 30329
Dekalb County (678) 523-0969
DR. MICHALE SFERRA PHD
Psychologist
1777 NORTHEAST EXPY NE
BROOKHAVEN, GA 30329
Dekalb County (404) 785-7878
SAMEIA MOHAMMED UDOJI NP
Nurse Practitioner (Psychiatric/Mental Health)
1777 NORTHEAST EXPY NE
BROOKHAVEN, GA 30329
Dekalb County (404) 785-8200
DR. CHRIS DANIELL PHD
Psychologist (Clinical)
1777 NORTHEAST EXPY NE
BROOKHAVEN, GA 30329
Dekalb County (513) 476-9949
MS. MARY BETH STARK M.S.CCC-SLP
Speech-Language Pathologist
1777 NORTHEAST EXPY NE, SUITE 175
ATLANTA, GA 30329
Dekalb County (404) 386-1324
CARINA PLATNER APRN
Nurse Practitioner (Psychiatric/Mental Health)
1777 NORTHEAST EXPY NE
ATLANTA, GA 30329
Dekalb County (404) 785-5437

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Peterson's NPI number?

The NPI number for Kelly Peterson is 1366923963. It was assigned to this individual provider in the NPPES registry on August 22, 2018.

Where is Kelly Peterson located?

Kelly Peterson practices at 1777 Northeast Expy NE, Brookhaven, GA 30329. The listed phone number is (404) 785-8200.

What is Kelly Peterson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kelly Peterson was last updated on October 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.