Individual provider Active NPI

Aaron M Wondrasek, MA, LAPC

  • Mental Health Counselor
  • Cumming, GA
National Provider Identifier
1508502881
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
APC007858 Issued in GA
Practice address
4660 Alford CMNS
Cumming, GA 30028-7043
Phone
(404) 788-6180
NPI assigned
May 9, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2022

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 APC007858 GA Primary

Addresses

Primary practice location

4660 Alford CMNS
Cumming, GA 30028-7043

Mailing address

4660 Alford CMNS
Cumming, GA 30028-7043
Phone (404) 788-6180

Other identifiers 1

IdentifierTypeStateIssuer
APC007858OtherGANONE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Cumming Other

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
APC007858GAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1508502881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 ALFORD CMNS",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300287043",
            "telephone_number": "404-788-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 ALFORD CMNS",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300287043",
            "telephone_number": "404-788-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONDRASEK",
        "first_name": "AARON",
        "middle_name": "M",
        "credential": "MA, LAPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC007858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "APC007858",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Cumming",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Cumming",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Cumming",
            "address_1": "4660 Alford Cmns",
            "city": "Cumming",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300287043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 9, 2022; 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.