KIMBERLY ANN IVESTER LPC
NPI 1396315552
Counselor - Mental Health in Carrollton, GA

Active since June 30, 2021PECOS Enrolled
24 CAMP LN, CARROLLTON, GA 30117(770) 363-6075 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Ann Ivester Lpc NPPES

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

KIMBERLY ANN IVESTER LPC (NPI 1396315552) is an individual mental health provider in Carrollton, Georgia, licensed in Georgia (LPC004483) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1396315552
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLY ANN IVESTERCredential: LPC
Location Address24 CAMP LNCarrollton, GA 30117-8298
Mailing Address1655 Georgia Highway 120Tallapoosa, GA 30176-3215 · (770) 574-7647
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 30, 2021
NPPES CertifiedJune 28, 2021
NPI 1396315552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in GA · LPC004483
24 CAMP LN, Carrollton, GA 30117

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kimberly Ann Ivester Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840783932
PECOS Enrollment IDI20251205003936
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Kimberly Ivester's NPI number?

The NPI number for Kimberly Ivester is 1396315552. It was assigned to this individual provider in the NPPES registry on June 30, 2021.

Where is Kimberly Ivester located?

Kimberly Ivester practices at 24 Camp Ln, Carrollton, GA 30117. The listed phone number is (770) 363-6075.

What is Kimberly Ivester's specialty?

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

Is Kimberly Ivester enrolled in Medicare?

Yes. Kimberly Ivester is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Ivester was last updated on June 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.