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KENNETH CHRISTOPHER HAIDER-BARDILL LPC
NPI 1871859967
Counselor - Professional in Atlanta, GA

Active since April 03, 2012PECOS Enrolled
1060 LENA ST NW, ATLANTA, GA 30314(678) 488-0766 Get Directions Write a Review

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenneth Christopher Haider-bardill Lpc NPPES

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

KENNETH CHRISTOPHER HAIDER-BARDILL LPC (NPI 1871859967) is an individual professional provider in Atlanta, Georgia, licensed in Georgia (LPC008084) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871859967
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameKENNETH CHRISTOPHER HAIDER-BARDILLCredential: LPC
Location Address1060 LENA ST NWAtlanta, GA 30314-2953
Mailing Address1060 Lena St NwAtlanta, GA 30314-2953 · (678) 488-0766
Phone(678) 488-0766
Sole ProprietorYes
Enumeration DateApril 3, 2012
Last NPPES UpdateMarch 7, 2022
NPPES CertifiedFebruary 20, 2022
✔ NPI 1871859967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in GA · LPC008084✔ Licensed in GA · APC003325
1060 LENA ST NW, Atlanta, GA 30314
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth Christopher Haider-bardill Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Kenneth Haider-bardill's NPI number?

The NPI number for Kenneth Haider-bardill is 1871859967. It was assigned to this individual provider in the NPPES registry on April 3, 2012.

Where is Kenneth Haider-bardill located?

Kenneth Haider-bardill practices at 1060 Lena St NW, Atlanta, GA 30314. The listed phone number is (678) 488-0766.

What is Kenneth Haider-bardill's specialty?

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

Is Kenneth Haider-bardill enrolled in Medicare?

Yes. Kenneth Haider-bardill is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Haider-bardill was last updated on March 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.