Individual provider Active NPI

Erik Paul Akullian

  • Mental Health Counselor
  • Santa Cruz, CA
National Provider Identifier
1336475615
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
303 Potrero St Ste 42-103
Santa Cruz, CA 95060-2779
Phone
(831) 420-0120
Fax
(831) 420-0136
NPI assigned
Oct 21, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

303 Potrero St Ste 42-103
Santa Cruz, CA 95060-2779

Mailing address

303 Potrero St Ste 42-103
Santa Cruz, CA 95060-2779
Phone (831) 420-0120

Other identifiers 2

IdentifierTypeStateIssuer
MEDI-CAL PRV NBRMedicaidCA
44AVOtherCAFS RES MHSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1336475615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 POTRERO ST STE 42-103",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950602779",
            "telephone_number": "831-420-0120",
            "fax_number": "831-420-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 POTRERO ST STE 42-103",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950602779",
            "telephone_number": "831-420-0120",
            "fax_number": "831-420-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKULLIAN",
        "first_name": "ERIK",
        "middle_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-21",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MEDI-CAL PRV NBR",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FS RES MHSS",
            "identifier": "44AV",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; 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.