Dustin Leigh Shandy, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC014155 Issued in GA

Practice address

3611 Braselton Hwy Ste 201
Dacula, GA 30019-4673

Phone

(678) 280-1390

NPI assigned

Jun 27, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Dusty Shandy Other name

Medicare fee-for-service enrollment

Enrolled in GA, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Trifecta Health LLCGroup PAC ID 5496148470, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Trifecta Health, LLC

  • Community/Behavioral Health Agency
  • Dacula, GA
  • NPI 1538706916
  Medicare reassignment Care Compare group NPD
• Trifecta Health of Florida LLC

  • Community/Behavioral Health Agency
  • Oviedo, FL
  • NPI 1730026188
  NPD

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1003221144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 BRASELTON HWY STE 201",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300194673",
            "telephone_number": "678-280-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 BRASELTON HWY STE 201",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300194673",
            "telephone_number": "678-280-1390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1820 Memorial Cir",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370434539",
            "country_code": "US",
            "telephone_number": "931-920-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANDY",
        "first_name": "DUSTIN",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-27",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC014155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DUSTY",
            "last_name": "SHANDY",
            "prefix": "MRS.",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marissa Sellers, PT
• Minkailu Sesay, MD
• Nadira Soad Shadeed, O.D., F.C.O.V.D.
• Henna Shah, PHARMD
• Christine Marie Shaheen-Ball, M. S., LPC
• Stephanie Sheets, LPC
• Jessica Stephens Shelnutt, PT, DPT
• Kathleen Sherali, OT
• Tatyana Shivers
• Tiffany Rockwell Silva, LCSW

• Mental Health Counselor in Dacula, GA
• Providers in Dacula, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.