Active NPI
Kylie Gerks, MS, MFT
- Mental Health Counselor
- College Park, GA
National Provider Identifier
1801368683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1919 John Wesley Ave
College Park, GA 30337-3605 - Phone
- (404) 762-9190
- Fax
- (404) 762-9101
- NPI assigned
- Dec 18, 2018
- 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 | Primary |
Addresses
Primary practice location
1919 John Wesley Ave
College Park, GA 30337-3605
Mailing address
1919 John Wesley Ave
College Park, GA 30337-3605
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Odyssey Family Counseling Center Corporation | Mental Health | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/odysseycounseling/r4/
Organizations & group practices 1
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 Counselor
- College Park, GA
- NPI 1689604605
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552608000000",
"number": "1801368683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 JOHN WESLEY AVE",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "303373605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 JOHN WESLEY AVE",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "303373605",
"telephone_number": "404-762-9190",
"fax_number": "404-762-9101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERKS",
"first_name": "KYLIE",
"credential": "MS, MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-18",
"last_updated": "2019-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in College Park, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.