Angela Dustin, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2944560 Issued in GA

Practice address

365 Northridge Rd Ste 310
Atlanta, GA 30350-6101

Phone

(770) 335-9749

NPI assigned

Aug 25, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1831866094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 PAINT HORSE DR",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301156829",
            "telephone_number": "801-722-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 NORTHRIDGE RD STE 310",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303506101",
            "telephone_number": "770-335-9749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSTIN",
        "first_name": "ANGELA",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "2944560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NO INSURANCE ACCEPTED",
            "identifier": "123456",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.atlri.com",
            "affiliation": "Y",
            "endpointDescription": "website",
            "affiliationName": "Atlanta Relationship Institute",
            "address_1": "365 Northridge Rd Ste 310",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303506101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rueben Durst, D.D.S.
• Jeffrey Michael Durthaler
• Nicole Lynn Durussell
• Mallory Alexis Dushane, RN, APRN, NP
• Chinaza M Duson
• James Raymond Dustin, LMT
• Richard Duszak Jr., M.D.
• Giselle Marie Almeida Dutcher, MD
• Indira Dutchin
• Monica Dutke

• Marriage & Family Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.