Individual provider Active NPI

Anila Asghar Malik, PH.D,LPC,NCC

  • Professional Counselor
  • Kennesaw, GA
National Provider Identifier
1982241451
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
003164 Issued in GA
Practice address
3164 Kirkwood Dr NW
Kennesaw, GA 30144-2354
Phone
(404) 414-1919
Fax
(678) 574-6096
NPI assigned
Dec 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 003164 GA Primary

Addresses

Primary practice location

3164 Kirkwood Dr NW
Kennesaw, GA 30144-2354

Mailing address

3164 Kirkwood Dr NW
Kennesaw, GA 30144-2354
Phone (404) 414-1919

Other practice location 1

5680 Fulton Industrial Blvd SW
Atlanta, GA 30336-2659
Phone (404) 346-3471

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL sharenote.com Health Information Exchange (HIE)

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
003164GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginnings Today, LLC Single Specialty Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1982241451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3164 KIRKWOOD DR NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442354",
            "telephone_number": "404-414-1919",
            "fax_number": "678-574-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3164 KIRKWOOD DR NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442354",
            "telephone_number": "404-414-1919",
            "fax_number": "678-574-6096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5680 Fulton Industrial Blvd SW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303362659",
            "country_code": "US",
            "telephone_number": "404-346-3471",
            "fax_number": "404-346-3473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALIK",
        "first_name": "ANILA",
        "middle_name": "ASGHAR",
        "name_prefix": "Dr.",
        "credential": "PH.D,LPC,NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "003164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "sharenote.com",
            "affiliation": "N",
            "endpointDescription": "Confidential Information System",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5680 Fulton Industrial Blvd SW",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303362659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.

Verify at the official NPI Registry.