KIESHA MICHELE STANLEY LPC
NPI 1740641968
Counselor - Professional in Stockbridge, GA

Active since March 15, 2016PECOS EnrolledAccepts Medicare Assignment
275 COUNTRY CLUB DR, STOCKBRIDGE, GA 30281(770) 474-8400(770) 474-3738 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 8, 2026, Dec 17, 2025, Dec 8, 2021 and 1 more (4 updates tracked since 2016).

About Kiesha Michele Stanley Lpc NPPES

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

KIESHA MICHELE STANLEY LPC (NPI 1740641968) is an individual professional provider in Stockbridge, Georgia, licensed in Georgia (LPC009900) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1740641968
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKIESHA MICHELE STANLEYCredential: LPC
Location Address275 COUNTRY CLUB DRStockbridge, GA 30281-7349
Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630
Fax(770) 474-3738
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 15, 2016
Last NPPES UpdateJanuary 8, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2026
NPI 1740641968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in GA · LPC009900
275 COUNTRY CLUB DR, Stockbridge, GA 30281

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kiesha Michele Stanley Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911347026
PECOS Enrollment IDI20240506003195
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.

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.

Psychologist
275 COUNTRY CLUB DR
STOCKBRIDGE, GA 30281
Psychologist
275 COUNTRY CLUB DR
STOCKBRIDGE, GA 30281
Counselor (Professional)
275 COUNTRY CLUB DR
STOCKBRIDGE, GA 30281
Counselor (Professional)
275 COUNTRY CLUB DR
STOCKBRIDGE, GA 30281
Marriage & Family Therapist
275 COUNTRY CLUB DR
STOCKBRIDGE, GA 30281
Counselor (Professional)
275 COUNTRY CLUB DR
STOCKBRIDGE, GA 30281
Marriage & Family Therapist
275 COUNTRY CLUB DR
STOCKBRIDGE, GA 30281
Counselor (Professional)
275 COUNTRY CLUB DR
STOCKBRIDGE, GA 30281

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 Kiesha Stanley's NPI number?

The NPI number for Kiesha Stanley is 1740641968. It was assigned to this individual provider in the NPPES registry on March 15, 2016.

Where is Kiesha Stanley located?

Kiesha Stanley practices at 275 Country Club Dr, Stockbridge, GA 30281. The listed phone number is (770) 474-8400.

What is Kiesha Stanley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kiesha Stanley enrolled in Medicare?

Yes. Kiesha Stanley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kiesha Stanley was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.