Sydney Otuata, MS, LAPC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APC010212 Issued in GA

Practice address

815 Park North Blvd
Clarkston, GA 30021-6200

Phone

(404) 943-1070

Fax

(678) 691-2124

NPI assigned

Mar 18, 2025

Last updated

Mar 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1316747363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 PARK NORTH BLVD",
            "city": "CLARKSTON",
            "state": "GA",
            "postal_code": "300216200",
            "telephone_number": "404-943-1070",
            "fax_number": "678-691-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 PARK NORTH BLVD",
            "city": "CLARKSTON",
            "state": "GA",
            "postal_code": "300216200",
            "telephone_number": "404-943-1070",
            "fax_number": "678-691-2124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Hambrick Rd",
            "address_purpose": "LOCATION",
            "city": "Stone Mountain",
            "state": "GA",
            "postal_code": "300833315",
            "country_code": "US",
            "telephone_number": "404-458-6485",
            "fax_number": "404-355-5733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1275 Clarendon Ave",
            "address_purpose": "LOCATION",
            "city": "Avondale Estates",
            "state": "GA",
            "postal_code": "300021571",
            "country_code": "US",
            "telephone_number": "470-355-3688",
            "fax_number": "470-355-3195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3549 Lawrenceville Hwy",
            "address_purpose": "LOCATION",
            "city": "Tucker",
            "state": "GA",
            "postal_code": "300845804",
            "country_code": "US",
            "telephone_number": "470-275-4647",
            "fax_number": "770-674-5564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTUATA",
        "first_name": "SYDNEY",
        "credential": "MS, LAPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC010212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trung The Nguyen
• Dana Vermelle Nowlin, PHD, LPC
• Nurture Home Care LLC
• Kareem Osborne
• Ojoru Osunkoya, MD
• PCL Labs LLC
• Peach Dental Care
• Vanessa Phan, D.M.D.
• Pharm R X Inc (Global Pharmacy)
• Chanda Lynne Pilgrim, PH.D.

• Mental Health Counselor in Clarkston, GA
• Providers in Clarkston, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.