Active NPI
Aleksandra Rakita-Jeremic, MS, LPC, NCC
- Professional Counselor
- Atlanta, GA
National Provider Identifier
1518202167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 008655
- Practice address
- 2964 Peachtree Rd NW Ste 620
Atlanta, GA 30305-2123 - Phone
- (404) 735-5483
- NPI assigned
- Dec 10, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 007062 | GA | |
| Professional Counselor | 101YP2500X | 008655 | GA | Primary |
Addresses
Primary practice location
2964 Peachtree Rd NW Ste 620
Atlanta, GA 30305-2123
Mailing address
2964 Peachtree Rd NW Ste 620
Atlanta, GA 30305-2123
Phone (404) 735-5483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 14, 2024 through Feb 14, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007062 | GA | MD | Professional Counselor |
| 008655 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525651200000",
"number": "1518202167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2964 PEACHTREE RD NW STE 620",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303052123",
"telephone_number": "404-735-5483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2964 PEACHTREE RD NW STE 620",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303052123",
"telephone_number": "404-735-5483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAKITA-JEREMIC",
"first_name": "ALEKSANDRA",
"credential": "MS, LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-10",
"last_updated": "2018-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "007062",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "008655",
"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 May 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.