Patricia R Natanagara, M.A, L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

005618 Issued in GA

Practice address

1720 Peachtree St NW Ste 510
Atlanta, GA 30309-2462

Phone

(404) 797-3292

NPI assigned

Jan 20, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Blue Heron Counseling LLC

  • Adult Mental Health Clinic/Center
  • Atlanta, GA
  • NPI 1295439016
  NPD Authorized official

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1972808061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 SYCAMORE DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301641",
            "telephone_number": "404-797-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 PEACHTREE ST NW STE 510",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092462",
            "telephone_number": "404-797-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATANAGARA",
        "first_name": "PATRICIA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "M.A, L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-20",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "5249",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "005618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Panida Nasseh, D.D.S.
• Adem A Nasser, MD
• Jason Nasser, MD
• Hogai G Nassery, M.D.
• Natalie S Baker PSYD LLC
• Isabel Nataniel, OTD
• Nirmala Natarajan, MD
• Rajeswari Natarajan, MD
• Nathan Segall, M.D., P.C.
• Cecelia Nathan, PHARM D

• Professional Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Professional Counselor in Georgia

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