Active NPI
Natalie S Janusczok, AMFT
- Mental Health Counselor
- Cumming, GA
National Provider Identifier
1366259558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MFTC.0014748
- Practice address
- 327 Dahlonega St Ste A601
Cumming, GA 30040-2488 - Phone
- (678) 661-1508
- NPI assigned
- Dec 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MFTC.0014748 | CO | Primary |
Addresses
Primary practice location
327 Dahlonega St Ste A601
Cumming, GA 30040-2488
Mailing address
6205 Noble Vines Dr # 6205
Buford, GA 30519-6139
Phone (415) 697-4409
Other practice location 1
6205 Noble Vines Dr # 6205
Buford, GA 30519-6139
Phone (415) 697-4409
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFTC.0014748 | CO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1366259558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6205 NOBLE VINES DR # 6205",
"city": "BUFORD",
"state": "GA",
"postal_code": "305196139",
"telephone_number": "415-697-4409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 DAHLONEGA ST STE A601",
"city": "CUMMING",
"state": "GA",
"postal_code": "300402488",
"telephone_number": "678-661-1508"
}
],
"practiceLocations": [
{
"address_1": "6205 Noble Vines Dr # 6205",
"address_purpose": "LOCATION",
"city": "Buford",
"state": "GA",
"postal_code": "305196139",
"country_code": "US",
"telephone_number": "415-697-4409",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JANUSCZOK",
"first_name": "NATALIE",
"middle_name": "S",
"credential": "AMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-12",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "MFTC.0014748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.