Active NPI
Abilash P Pulicken
- Mental Health Counselor
- Atlanta, GA
National Provider Identifier
1366933897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2001 Martin Luther King Jr Dr SW Ste 540
Atlanta, GA 30310-1101 - Phone
- (404) 914-4782
- Fax
- (404) 914-4782
- NPI assigned
- May 21, 2018
- Sex
- Male
- Sole proprietor
- No
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 | GA | Primary |
Addresses
Primary practice location
2001 Martin Luther King Jr Dr SW Ste 540
Atlanta, GA 30310-1101
Mailing address
5686 Fulton Industrial Blvd SW
Unit 44528
Atlanta, GA 30336
Phone (404) 914-4782
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T2S Enterprises, LLC | Mental Health | Current | Accepting new patients |
Locations
5686 Fulton Industrial Blvd SW
Unit 44528
Atlanta, GA 30336
2001 Martin Luther King Jr Dr SW
Ste 540
Atlanta, GA 30310
Phone (404) 914-4782
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618185600000",
"number": "1366933897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5686 FULTON INDUSTRIAL BLVD SW",
"address_2": "UNIT 44528",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30336",
"telephone_number": "404-914-4782",
"fax_number": "404-914-4782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 MARTIN LUTHER KING JR DR SW STE 540",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303101101",
"telephone_number": "404-914-4782",
"fax_number": "404-914-4782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULICKEN",
"first_name": "ABILASH",
"middle_name": "P",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-21",
"last_updated": "2021-04-12",
"certification_date": "2021-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.