Organization Active NPI

Pak Counseling LLC

  • Clinical Social Worker
  • Suwanee, GA
National Provider Identifier
1114205762
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW003788 Issued in GA
Legal business name
PAK COUNSELING LLC
Practice address
3455 Lawrenceville Suwanee Rd Ste D
Suwanee, GA 30024-6425
Phone
(404) 966-9413
NPI assigned
Aug 1, 2011
Last updated
Aug 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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

Authorized official

Name
Ms. Unson Pak, LCSW
Title
Psychotherapist
Phone
(404) 966-9413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW003788 GA Primary

Addresses

Primary practice location

3455 Lawrenceville Suwanee Rd Ste D
Suwanee, GA 30024-6425

Mailing address

3455 Lawrenceville Suwanee Rd Ste D
Suwanee, GA 30024-6425
Phone (404) 966-9413

Other identifiers 1

IdentifierTypeStateIssuer
1750533394OtherGANPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1114205762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 LAWRENCEVILLE SUWANEE RD STE D",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246425",
            "telephone_number": "404-966-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 LAWRENCEVILLE SUWANEE RD STE D",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246425",
            "telephone_number": "404-966-9413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAK COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-01",
        "last_updated": "2011-08-01",
        "status": "A",
        "authorized_official_last_name": "PAK",
        "authorized_official_first_name": "UNSON",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "404-966-9413",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1750533394",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.