Active NPI
Katherine Fallon Upton, NCC
- Mental Health Counselor
- Atlanta, GA
National Provider Identifier
1558035345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 3100 Interstate North Cir SE Ste 200
Atlanta, GA 30339-2384 - Phone
- (678) 404-6245
- NPI assigned
- Aug 4, 2021
- 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 | Primary |
Addresses
Primary practice location
3100 Interstate North Cir SE Ste 200
Atlanta, GA 30339-2384
Mailing address
3100 Interstate North Cir SE Ste 200
Atlanta, GA 30339-2384
Phone (678) 404-6245
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 21, 2024 through Mar 21, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1558035345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 INTERSTATE NORTH CIR SE STE 200",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303392384",
"telephone_number": "678-404-6245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 INTERSTATE NORTH CIR SE STE 200",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303392384",
"telephone_number": "678-404-6245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UPTON",
"first_name": "KATHERINE",
"middle_name": "FALLON",
"credential": "NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-04",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"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 10, 2024; 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.