Individual provider Active NPI

Afiya Yabuku

  • Mental Health Counselor
  • Atlanta, GA
National Provider Identifier
1669945028
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC012310 Issued in GA
Practice address
2675 Paces Ferry Rd SE
Atlanta, GA 30339-4052
Phone
(404) 405-0511
NPI assigned
Jan 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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 LPC012310 GA Primary

Addresses

Primary practice location

2675 Paces Ferry Rd SE
Atlanta, GA 30339-4052

Mailing address

2675 Paces Ferry Rd SE Ste 140
Atlanta, GA 30339-4089

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

LicenseStateTypeSpecialty
LPC012310GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Y Counseling and Consulting, S-Corp Current Accepting new patients
Odyssey Family Counseling Center Corporation Mental Health PastSince Oct 14, 2020 Accepting new patients

Locations

2675 Paces Ferry Rd SE
Ste 140
Atlanta, GA 30339
Phone (404) 405-0511

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/odysseycounseling/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1669945028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 PACES FERRY RD SE STE 140",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303394089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 PACES FERRY RD SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303394052",
            "telephone_number": "404-405-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YABUKU",
        "first_name": "AFIYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-09",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC012310",
            "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 Jul 29, 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.

Verify at the official NPI Registry.