MEDICARE: KATHRINE HOOVER LMHC, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	012072	NY
2	101YM0800X	Mental Health Counselor	012072-01	NY

General Provider Information

NPI Number	:	1457004731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRINE HOOVER LMHC, LPC

Provider Business Mailing Address
First Line	:	814 JUNIPER ST NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30308-1300
Country	:	US
Telephone Number	:	646-838-0306
Fax Number	:

Provider Business Practice Location Address
First Line	:	814 JUNIPER ST NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30308-1300
Country	:	US
Telephone Number	:	646-838-0306
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2022
Last Update Date	:	03/02/2026

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