Active NPI
Shemika S Hubbard, ED.D., LPC, PCS, CAC
- Professional Counselor
- Alpharetta, GA
National Provider Identifier
1023849783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC014981
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC014981 | GA | MD | Counselor |
| 776632 | GA | MD | School 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.