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NICOLE PEDERSON
NPI 1275049900
Counselor - Mental Health in Atlanta, GA

Active since December 18, 2017
215 LAKEWOOD WAY SW # 205, ATLANTA, GA 30315(678) 335-9010 Get Directions Write a Review

NPPES record last updated: December 18, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Pederson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE PEDERSON (NPI 1275049900) is an individual mental health provider in Atlanta, Georgia and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1275049900
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE PEDERSON
Location Address215 LAKEWOOD WAY SW # 205Atlanta, GA 30315-6022
Mailing Address445 Markham St Sw Apt D2Atlanta, GA 30313-1405
Phone(678) 335-9010
Sole ProprietorNo
Enumeration DateDecember 18, 2017
✔ NPI 1275049900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
215 LAKEWOOD WAY SW # 205, Atlanta, GA 30315
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Pederson's NPI number?

The NPI number for Nicole Pederson is 1275049900. It was assigned to this individual provider in the NPPES registry on December 18, 2017.

Where is Nicole Pederson located?

Nicole Pederson practices at 215 Lakewood Way SW # 205, Atlanta, GA 30315. The listed phone number is (678) 335-9010.

What is Nicole Pederson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Nicole Pederson was last updated on December 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.