Active NPI
Jahna Nikita Shiovitz, MS, LPC, NCC
- Professional Counselor
- Atlanta, GA
National Provider Identifier
1013633353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC013184
- Practice address
- 1821 Clifton Rd NE Ste 1200
Atlanta, GA 30329-4021 - Phone
- (404) 712-5713
- NPI assigned
- Oct 18, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC013184 | GA | Primary |
Addresses
Primary practice location
1821 Clifton Rd NE Ste 1200
Atlanta, GA 30329-4021
Mailing address
3453 Spring Cir
Decatur, GA 30032-7222
Phone (770) 364-9913
Other names 1
- Jahna Nikita Carolina
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 1, 2024 through Feb 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC013184 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1013633353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3453 SPRING CIR",
"city": "DECATUR",
"state": "GA",
"postal_code": "300327222",
"telephone_number": "770-364-9913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 CLIFTON RD NE STE 1200",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303294021",
"telephone_number": "404-712-5713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIOVITZ",
"first_name": "JAHNA",
"middle_name": "NIKITA",
"credential": "MS, LPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-18",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC013184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAHNA",
"last_name": "CAROLINA",
"middle_name": "NIKITA",
"credential": "MS, LPC, NCC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.