Flynn Ann Pustilnik, LPC, NCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC007655 Issued in GA

Practice address

1905 Woodstock Rd Ste 6200
Roswell, GA 30075-5630

Phone

(470) 344-3958

NPI assigned

May 29, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1174014807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6851 ROSWELL RD APT K23",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303282464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 WOODSTOCK RD STE 6200",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300755630",
            "telephone_number": "470-344-3958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUSTILNIK",
        "first_name": "FLYNN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC007655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Roswell, GA
• Providers in Roswell, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.