NPIMap

Organization Active NPI

Nak Union, Inc

  • Mental Health Counselor
  • College Park, GA
National Provider Identifier
1174863047
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
NAK UNION, INC
Practice address
5530 Old National Hwy
BLDG C, Ste B
College Park, GA 30349
Phone
(678) 466-6511
Fax
(678) 466-6468
NPI assigned
Feb 28, 2013
Last updated
Mar 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2018

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

Authorized official

Name
Nak Sylla Kake
Title
Ceo
Phone
(678) 466-6511

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1777-R GA
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Mental Health Counselor 101YM0800X NU Primary
Substance Abuse Rehabilitation Facility 324500000X IN PROGRESS GA

Addresses

Primary practice location

5530 Old National Hwy
BLDG C, Ste B
College Park, GA 30349

Mailing address

PO Box 1458
Fairburn, GA 30213-8007
Phone (678) 650-5274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141010002216 GA Part B Supplier - Clinic/Group Practice 2769602861 Receives reassigned benefits from 8 practitioners
Practice locations: College Park, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520467200000",
    "number": "1174863047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1458",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302138007",
            "telephone_number": "678-650-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 OLD NATIONAL HWY",
            "address_2": "BLDG C, STE B",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "30349",
            "telephone_number": "678-466-6511",
            "fax_number": "678-466-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAK UNION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-28",
        "last_updated": "2018-03-08",
        "status": "A",
        "authorized_official_last_name": "KAKE",
        "authorized_official_first_name": "NAK",
        "authorized_official_middle_name": "SYLLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-466-6511"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "1777-R",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "GA",
            "license": "IN PROGRESS",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.