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Active NPI 1659776912 Individual Practitioner Female Practitioner

Kim L Neese , LPC, BCCC, CADC II

Counselor - Professional • Lagrange, GA

Professional Overview & Biography Verified Profile Summary

Kim Neese, LPC, BCCC, CADC II is a certified Counselor - Professional practicing in Lagrange, GA. With approximately 16 years of clinical experience since completing medical education in 2010, Kim Neese delivers high-quality medical care to the local community at 107 HARWELL AVE.

Kim Neese does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

107 Harwell Ave

Lagrange, GA 302403131

Telephone 7065941192
Fax 7064125017
Associated Practice Facility / Clinic
🏢 Covenant Counsel, Llc Facility NPI 1720977507

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Lagrange, GA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs +5.8 yrs vs City Avg
City Avg: 10.2 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
56 Specialists

Practicing in Lagrange, GA (6655 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Neese (16 Years) 16 Yrs
Lagrange Specialty Average (10.2 Years) 10.2 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-06-28
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License GA LPC007660

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License GA 423

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
003169076A (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1528944360

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location June 28, 2025

Registered at 107 HARWELL AVE, LAGRANGE, GA 302403131 (Tel: 7065941192)

👤
Provider Name / Credentials Updated December 28, 2021

Recorded as KIM NEESE, LPC, BCCC, CADC II,

👤
Provider Name / Credentials Updated October 31, 2021

Recorded as KIM NEESE, LPC, BCCC, CADC II

📍
Updated Practice Location October 09, 2021

Registered at 406 RIDLEY AVE, LAGRANGE, GA 302402232 (Tel: 7065941192)

📍
Updated Business Mailing Address October 09, 2021

Registered at 2219 SMOKEY RD, LAGRANGE, GA 302419083 (Tel: 7065941192)

👤
Provider Name / Credentials Updated October 09, 2021

Recorded as KIM NEESE, LPC, BCCC, CADC II,

NPI Profile Active October 29, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 29, 2014

Registered at 610 RIDLEY AVE, COUNSELING SERVICES, INC., LAGRANGE, GA 302402236 (Tel: 7068845050)

📍
Updated Business Mailing Address October 29, 2014

Registered at 610 RIDLEY AVE, COUNSELING SERVICES, INC., LAGRANGE, GA 302402236 (Tel: 7068845050)

👤
Provider Name / Credentials Updated October 29, 2014

Recorded as KIM NEESE, LPC, BCCC, CADC II

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2014

Counselor (License #423 in GA)

🟢
Initial NPI Registration & Enumeration October 29, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659776912
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 29, 2014
Last Update: June 28, 2025
Sole Proprietor: Yes

Mailing Address

2219 Smokey Rd

Lagrange, GA 302419083

Phone: 7065941192

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.