Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly Ann Ivester, LPC

Individual provider Mental Health Counselor · NPI 1396315552

Kimberly Ann Ivester, LPC is a Mental Health Counselor in Carrollton, Georgia. Qualified in 2016, 10 years ago. Licensed in Georgia.

Years since qualifying
10
Licensed in
GA
In the registry since
2021
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

24 Camp Ln
Carrollton, GA 30117-8298
Phone: (770) 363-6075
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LPC004483 (GA)

Record details

NPI number1396315552
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedJune 30, 2021
Last updated in NPPESJune 30, 2021
Certification dateJune 28, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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