Individual provider Active NPI

Jahna Nikita Shiovitz, MS, LPC, NCC

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1013633353
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC013184 Issued in GA
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

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
LPC013184GAMDProfessional 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

Verify at the official NPI Registry.