Shawnnetta N Green, LAPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APC008679 Issued in GA

Practice address

3464 Fairburn Rd BLDG 4
Douglasville, GA 30135-2926

Phone

(678) 379-3055

NPI assigned

Jan 17, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1003521725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 LAKERIDGE DR",
            "city": "TEMPLE",
            "state": "GA",
            "postal_code": "301794301",
            "telephone_number": "678-379-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3464 FAIRBURN RD BLDG 4",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301352926",
            "telephone_number": "678-379-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "SHAWNNETTA",
        "middle_name": "N",
        "credential": "LAPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC008679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaycee Green, ATC
• Kesha P Green, LCSW
• Mary O. Green, SOCIAL WORKER
• Nakisha Green, LMT
• Sarah Green
• Greenleaf Outreach Services
• Victoria Griffin, M.ED., LPC, MAC
• William A Griffith, MD
• Kristin Isabel Griggs, PA-C
• Melissa Ann Grill-Petersen, DC

• Mental Health Counselor in Douglasville, GA
• Providers in Douglasville, 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 17, 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.