Individual provider Active NPI

Shemika S Hubbard, ED.D., LPC, PCS, CAC

  • Professional Counselor
  • Alpharetta, GA
National Provider Identifier
1023849783
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC014981 Issued in GA
Practice address
6230 Shiloh Rd Ste 140
Alpharetta, GA 30005-8402
Phone
(404) 951-7851
NPI assigned
Aug 13, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X 776632 GA
Professional Counselor 101YP2500X LPC014981 GA Primary
Counselor 101Y00000X LPC014981 GA

Addresses

Primary practice location

6230 Shiloh Rd Ste 140
Alpharetta, GA 30005-8402

Mailing address

734 Lance View LN
Lawrenceville, GA 30045-8722
Phone (678) 316-0623

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

LicenseStateTypeSpecialty
LPC014981GAMDCounselor
776632GAMDSchool Counselor

NPI Registry JSON

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1023849783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 LANCE VIEW LN",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300458722",
            "telephone_number": "678-316-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 SHILOH RD STE 140",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300058402",
            "telephone_number": "404-951-7851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "SHEMIKA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "ED.D., LPC, PCS, CAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "GA",
            "license": "776632",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC014981",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC014981",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.