Shana Wright Wood, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC011719 Issued in GA

Practice address

741 Piedmont Ave NE Ste 200
Atlanta, GA 30308-1420

Phone

(404) 232-5775

NPI assigned

Sep 6, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 7, 2024 through Jun 7, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1599350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599350400000",
    "number": "1043824097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 PIEDMONT AVE NE STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081420",
            "telephone_number": "404-232-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 PIEDMONT AVE NE STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081420",
            "telephone_number": "404-232-5775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4530 S Berkeley Lake Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Berkeley Lake",
            "state": "GA",
            "postal_code": "300711657",
            "country_code": "US",
            "telephone_number": "404-232-5775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT WOOD",
        "first_name": "SHANA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-06",
        "last_updated": "2020-09-06",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC011719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA BOARD OF PROFESSIONAL COUNSELORS, SOCIAL WORKERS, AND  AND MFT'S",
            "identifier": "LPC011719",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily K Wrenn
• Erik Jerrard Wrice, PHARM.D.
• Audrey B Wright Allen, SLP
• Wright Choice of Behavioral Services
• Wright Jones MD Plastic Surgery, PC
• Samantha Sasha Wright-Atkinson
• Cheryl Lynn Wright-Riddell, M.A.
• Adana Tiara Wright
• Alisha Michelle Wright, OTRL
• Anastasia Wright, NURSE PRACTITIONER

• Mental Health Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2020; 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.

Verify at the official NPI Registry.