Ivan Edwin Estrada, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2295 Parklake Dr NE Ste 558
Atlanta, GA 30345-2951

Phone

(678) 360-3297

NPI assigned

Sep 27, 2023

Sex

Male

Sole proprietor

No

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

Credentials

Master of Science

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1689453631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 MAYS RD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302812529",
            "telephone_number": "678-360-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 PARKLAKE DR NE STE 558",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452951",
            "telephone_number": "678-360-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "IVAN",
        "middle_name": "EDWIN",
        "name_prefix": "Mr.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylisa Estes, MSW
• Adam Esteva Sanders, DMD
• Ariel Irene Esteves, FNP-BC, RN
• Fabio P Esteves, MD
• Wienelmine Estime, NP
• Max Ricardo Estrada, FNP
• Mary D Etay
• Hannah Etchison
• Etenritys Path LLC a Counseling and Family Resource Center
• Ethel Care

• 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 Sep 27, 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.