Active NPI
Gina Vlasek, M.A.
- Mental Health Counselor
- Atlanta, GA
National Provider Identifier
1669608360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- APC001720
- Practice address
- 2308 Perimeter Park Dr
Suite 100
Atlanta, GA 30341-1316 - Phone
- (770) 457-5577
- Fax
- (770) 457-5599
- NPI assigned
- Jun 9, 2009
- Sex
- Female
- Sole proprietor
- No
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 | APC001720 | GA | Primary |
Addresses
Primary practice location
2308 Perimeter Park Dr
Suite 100
Atlanta, GA 30341-1316
Mailing address
2308 Perimeter Park Dr
Suite 100
Atlanta, GA 30341-1316
Phone (770) 457-5577
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC001720 | GA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244505600000",
"number": "1669608360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2308 PERIMETER PARK DR",
"address_2": "SUITE 100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303411316",
"telephone_number": "770-457-5577",
"fax_number": "770-457-5599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2308 PERIMETER PARK DR",
"address_2": "SUITE 100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303411316",
"telephone_number": "770-457-5577",
"fax_number": "770-457-5599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VLASEK",
"first_name": "GINA",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-09",
"last_updated": "2009-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "APC001720",
"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 Jun 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.