Parisa Nicole Poorak

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

2450 Atlanta Hwy Ste 1503
Cumming, GA 30040-1277

Phone

(678) 772-1031

NPI assigned

Mar 15, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1528527975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15000 PARKVIEW LN APT 6205",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 ATLANTA HWY STE 1503",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300401277",
            "telephone_number": "678-772-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POORAK",
        "first_name": "PARISA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-15",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley Podsen, ATC
• Gretchen Woods Pogue
• Elise Nicole Polewski
• Sasikala Ponnambalam, M.D.
• Renee Dalynn-Ronsonet Poole, OTR/L
• Alexis Andress Pope, DNP
• Nadine Pope, LCSW
• Ohridia Amaki Pope, NP
• Gelenie Basas Popliuc, APRN,FNP-BC
• Megan Larsen Popp, FNP-C

• Professional Counselor in Cumming, GA
• Providers in Cumming, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; 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.