KELLIE LASSIG MS
NPI 1467082065
Counselor - Mental Health in Alpharetta, GA

Active since January 22, 2020Opted out of Medicare · through Jan 8, 2028
4080 MCGINNIS FERRY RD STE 1304, ALPHARETTA, GA 30005(678) 740-3990 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kellie Lassig Ms NPPES

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

KELLIE LASSIG MS (NPI 1467082065) is an individual mental health provider in Alpharetta, Georgia, licensed in Georgia (LPC014242) and active in the NPI registry since January 2020. She has opted out of Medicare through January 8, 2028 and maintains a secondary practice location in Seneca.

NPPES Registry Identity

NPI1467082065
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLIE LASSIGCredential: MS
Location Address4080 MCGINNIS FERRY RD STE 1304Alpharetta, GA 30005-3951
Mailing Address617 S Pine StSeneca, SC 29678-3837
Sole ProprietorYes
Enumeration DateJanuary 22, 2020
Last NPPES UpdateFebruary 26, 2024
NPPES CertifiedFebruary 26, 2024
NPI 1467082065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in GA · LPC014242 Licensed in SC · 9343
4080 MCGINNIS FERRY RD STE 1304, Alpharetta, GA 30005

Secondary Practice Location 1

Location 1617 S Pine StSeneca, SC 29678-3837 · Phone (770) 830-4272

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Kellie Lassig Ms has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 8, 2024 through January 8, 2028.

Opt-Out Effective DateJanuary 8, 2024
Opt-Out In Effect ThroughJanuary 8, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 10

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

Social Worker (Clinical)
4080 MCGINNIS FERRY RD STE 1304
ALPHARETTA, GA 30005
Counselor (Mental Health)
4080 MCGINNIS FERRY RD STE 1304
ALPHARETTA, GA 30005
Counselor (Professional)
4080 MCGINNIS FERRY RD STE 1304
ALPHARETTA, GA 30005
Counselor (Mental Health)
4080 MCGINNIS FERRY RD STE 1304
ALPHARETTA, GA 30005
Counselor (Mental Health)
4080 MCGINNIS FERRY RD STE 1304
ALPHARETTA, GA 30005
Counselor (Mental Health)
4080 MCGINNIS FERRY RD STE 1304
ALPHARETTA, GA 30005
Social Worker (Clinical)
4080 MCGINNIS FERRY RD STE 1304
ALPHARETTA, GA 30005
Counselor (Mental Health)
4080 MCGINNIS FERRY RD STE 1304
ALPHARETTA, GA 30005

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 Kellie Lassig's NPI number?

The NPI number for Kellie Lassig is 1467082065. It was assigned to this individual provider in the NPPES registry on January 22, 2020.

Where is Kellie Lassig located?

Kellie Lassig practices at 4080 Mcginnis Ferry Rd Ste 1304, Alpharetta, GA 30005. The listed phone number is (678) 740-3990.

What is Kellie Lassig's specialty?

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

Is Kellie Lassig enrolled in Medicare?

No. Kellie Lassig has opted out of Medicare through January 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kellie Lassig was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.