Individual provider Active NPI

Vinitha C Pastor, LPC

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1073878245
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
005159 Issued in GA
Practice address
3520 Piedmont Rd NE Ste 330
Atlanta, GA 30305-1552
Phone
(404) 372-2751
NPI assigned
Jul 12, 2012
Last updated
Jul 12, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 005159 GA Primary

Addresses

Primary practice location

3520 Piedmont Rd NE Ste 330
Atlanta, GA 30305-1552

Mailing address

3520 Piedmont Rd NE Ste 330
Atlanta, GA 30305-1552
Phone (404) 372-2751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 22, 2018 through Aug 22, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
005159GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vinitha Pastor Counseling LLC Current Accepting new patients

Locations

1827 Powers Ferry Rd SE
Bldg 22
Atlanta, GA 30339
Phone (770) 953-4744

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342051200000",
    "number": "1073878245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 PIEDMONT RD NE STE 330",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051552",
            "telephone_number": "404-372-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 PIEDMONT RD NE STE 330",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051552",
            "telephone_number": "404-372-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTOR",
        "first_name": "VINITHA",
        "middle_name": "C",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "005159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.