Active NPI
Jasmaine Ataga, MS, LPC, NCC
- Professional Counselor
- Gainesville, FL
National Provider Identifier
1831792290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 011869
- Practice address
- 25 SW 5TH Ter Apt Unit4422
Gainesville, FL 32601-6219 - Phone
- (470) 985-3580
- NPI assigned
- Nov 18, 2020
- Last updated
- Nov 18, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 011869 | GA | Primary |
Addresses
Primary practice location
25 SW 5TH Ter Apt Unit4422
Gainesville, FL 32601-6219
Mailing address
3103 Blue Heron Pass
Powder SPGS, GA 30127-2395
Phone (470) 985-3580
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011869 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605657600000",
"number": "1831792290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3103 BLUE HERON PASS",
"city": "POWDER SPGS",
"state": "GA",
"postal_code": "301272395",
"telephone_number": "470-985-3580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 SW 5TH TER APT UNIT4422",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326016219",
"telephone_number": "470-985-3580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATAGA",
"first_name": "JASMAINE",
"credential": "MS, LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-18",
"last_updated": "2020-11-18",
"certification_date": "2020-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "011869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.