Active NPI
Tedra Dorothy Lucille Shriner, ED.S, LPC
- Professional Counselor
- Athens, GA
National Provider Identifier
1013502624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 011444
- Practice address
- 101 Southcreek PL
Athens, GA 30606-2334 - Phone
- (706) 766-5794
- NPI assigned
- Mar 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 767889 | GA | |
| Professional Counselor | 101YP2500X | 011444 | GA | Primary |
Addresses
Primary practice location
101 Southcreek PL
Athens, GA 30606-2334
Mailing address
101 Southcreek PL
Athens, GA 30606-2334
Phone (706) 766-5794
Other names 1
- Teddi Dorothy Lucille Shriner
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | tshrinercounseling@gmail.com | Other |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011444 | GA | MD | Professional Counselor |
| 767889 | GA | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614902400000",
"number": "1013502624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 SOUTHCREEK PL",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062334",
"telephone_number": "706-766-5794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 SOUTHCREEK PL",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062334",
"telephone_number": "706-766-5794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHRINER",
"first_name": "TEDRA",
"middle_name": "DOROTHY LUCILLE",
"name_prefix": "Mrs.",
"credential": "ED.S, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-05",
"last_updated": "2021-03-05",
"certification_date": "2021-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "GA",
"license": "767889",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "011444",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "tshrinercounseling@gmail.com",
"affiliation": "N",
"endpointDescription": "Business email",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Electronic communication",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Electronic communication",
"address_1": "101 Southcreek Pl",
"city": "Athens",
"state": "GA",
"country_code": "US",
"postal_code": "306062334",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "TEDDI",
"last_name": "SHRINER",
"middle_name": "DOROTHY LUCILLE",
"credential": "ED.S, LPC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.