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Kelly Waggoner, LPCC
NPI 1730501511 · Mental Health Counselor · Lilburn, GA
Kelly Waggoner, LPCC is a Mental Health Counselor provider in Lilburn, GA (NPI 1730501511).
Provider details
- NPI number
- 1730501511
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LPCC
- Sex
- Female
- Sole proprietor
- Yes
- License
- CCHM0207621 (NM)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5165 Bowers Brook Dr Sw
Lilburn, GA 30047-5172
Phone: (505) 695-1613
Street-level locationGet directions
Mailing address
5165 Bowers Brook Dr Sw
Lilburn, GA 30047-5172
Additional practice locations (1)
- 11005 Spain Rd Ne Ste 21Albuquerque, NM 87111-1871Phone: (505) 695-1613
Registry dates
- Enumerated
- 2014-01-13
- Last updated
- 2020-07-20
- Certified
- 2020-07-20
Frequently asked questions
- What is Kelly Waggoner's NPI number?
- Kelly Waggoner's National Provider Identifier (NPI) is 1730501511, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Waggoner's specialty?
- Kelly Waggoner is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Kelly Waggoner located?
- Kelly Waggoner's practice location on file with NPPES is 5165 Bowers Brook Dr Sw, Lilburn, GA 30047-5172.
- What is Kelly Waggoner's phone number?
- The practice phone number listed in the NPPES registry for Kelly Waggoner is (505) 695-1613.
- Is Kelly Waggoner's NPI active?
- Yes — Kelly Waggoner's NPI (1730501511) is active in the NPPES registry as of the last update on 2020-07-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.