Individual provider Active NPI

Gennesis Christina Popovici, MS, APC

  • Mental Health Counselor
  • Buford, GA
National Provider Identifier
1669169371
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
008581 Issued in GA
Practice address
1400 Buford Hwy Ste R1
Buford, GA 30518-8777
Phone
(678) 541-5096
Fax
(678) 541-5186
NPI assigned
Apr 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 008581 GA Primary

Addresses

Primary practice location

1400 Buford Hwy Ste R1
Buford, GA 30518-8777

Mailing address

5239 Ponderosa Farm Rd
Gainesville, GA 30507-8719
Phone (770) 885-5550

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
008581GAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1669169371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5239 PONDEROSA FARM RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305078719",
            "telephone_number": "770-885-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BUFORD HWY STE R1",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305188777",
            "telephone_number": "678-541-5096",
            "fax_number": "678-541-5186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPOVICI",
        "first_name": "GENNESIS",
        "middle_name": "CHRISTINA",
        "credential": "MS, APC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "008581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.