Nicole Fuglewicz, LAPC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APC005442 Issued in GA

Practice address

2900 Chamblee Tucker Rd BLDG 12
Atlanta, GA 30341-4100

Phone

(470) 344-3811

Fax

(770) 818-5873

NPI assigned

Jun 14, 2017

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497398400000",
    "number": "1659801355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 PENN AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081524",
            "telephone_number": "470-344-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 CHAMBLEE TUCKER RD BLDG 12",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414100",
            "telephone_number": "470-344-3811",
            "fax_number": "770-818-5873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUGLEWICZ",
        "first_name": "NICOLE",
        "credential": "LAPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2017-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC005442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Fuentes-Dominguez
• Jannet Fuentes-Martinez
• Carlos Fuentes, PHARMACIST
• Brianna Fuertes
• James E Fugedy, M.D.
• Andrew Fuhrer, PAA
• Laura Liebowtz Fuhrman, OTRL
• Sally Kahn Fuhrmeister, M.S. CCC-SLP
• Ayako Wendy Fujita, MD, MSC
• Jaime Gail Fulcher, MS, ATC, LAT

• Mental Health Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; 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.