Active NPI
Nadim Sulaiman Ali, LPC
- Professional Counselor
- Atlanta, GA
National Provider Identifier
1639295702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 03775
- Practice address
- 1156 Eggleston St SW
Atlanta, GA 30310-1704 - Phone
- (678) 820-9053
- Fax
- (404) 393-9973
- NPI assigned
- Mar 21, 2007
- Last updated
- Oct 11, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 03775 | GA | Primary |
Addresses
Primary practice location
1156 Eggleston St SW
Atlanta, GA 30310-1704
Mailing address
P.O. Box 115403
Atlanta, GA 30310-1704
Phone (678) 820-9053
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 370911651A | Medicaid | GA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03775 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1639295702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 115403",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303101704",
"telephone_number": "678-820-9053",
"fax_number": "404-393-9973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1156 EGGLESTON ST SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303101704",
"telephone_number": "678-820-9053",
"fax_number": "404-393-9973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "NADIM",
"middle_name": "SULAIMAN",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "03775",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "370911651A",
"state": "GA"
}
],
"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 Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.