Individual provider Active NPI

Bahiyya Amh-Shere, LPC, CAMS II, CPCS

  • Mental Health Counselor
  • Decatur, GA
National Provider Identifier
1043614464
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC008882 Issued in GA
Practice address
235 E Ponce de Leon Ave Ste 303
Decatur, GA 30030-3412
Phone
(770) 896-2979
NPI assigned
Oct 14, 2014
Last updated
Jul 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC008882 GA Primary

Addresses

Primary practice location

235 E Ponce de Leon Ave Ste 303
Decatur, GA 30030-3412

Mailing address

235 E Ponce de Leon Ave Ste 303
Decatur, GA 30030-3412
Phone (770) 896-2979

Other practice location 1

2196 Beecher Rd SW
Atlanta, GA 30311-2551
Phone (770) 896-2979

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
LPC008882GAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1043614464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 E PONCE DE LEON AVE STE 303",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303412",
            "telephone_number": "770-896-2979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E PONCE DE LEON AVE STE 303",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303412",
            "telephone_number": "770-896-2979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2196 Beecher Rd SW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303112551",
            "country_code": "US",
            "telephone_number": "770-896-2979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMH-SHERE",
        "first_name": "BAHIYYA",
        "credential": "LPC, CAMS II, CPCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-14",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC008882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.