Active NPI
Afiya Yabuku
- Mental Health Counselor
- Atlanta, GA
National Provider Identifier
1669945028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC012310
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC012310 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Y Counseling and Consulting, S-Corp | Current | Accepting new patients | |
| Odyssey Family Counseling Center Corporation | Mental Health | Past | Accepting new patients |
Locations
2675 Paces Ferry Rd SE
Ste 140
Atlanta, GA 30339
Phone (404) 405-0511
Interoperability endpoints
- 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Atlanta, GA
- NPI 1356170344
-
- Mental Health Counselor
- College Park, GA
- NPI 1689604605
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.