Active NPI
Shade Tree Counseling LLC
- Community/Behavioral Health Agency
- Athens, GA
National Provider Identifier
1053225235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- SHADE TREE COUNSELING LLC
- Practice address
- 264 Nantahala Ave
Athens, GA 30601-1937 - Phone
- (571) 438-0243
- NPI assigned
- Oct 2, 2026
- Last updated
- Oct 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joel Siebentritt, LCSW
- Title
- Owner
- Phone
- (571) 438-0243
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
264 Nantahala Ave
Athens, GA 30601-1937
Mailing address
264 Nantahala Ave
Athens, GA 30601-1937
Phone (571) 438-0243
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Athens, GA
- NPI 1275447443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790899200000",
"number": "1053225235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "264 NANTAHALA AVE",
"city": "ATHENS",
"state": "GA",
"postal_code": "306011937",
"telephone_number": "571-438-0243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "264 NANTAHALA AVE",
"city": "ATHENS",
"state": "GA",
"postal_code": "306011937",
"telephone_number": "571-438-0243"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHADE TREE COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-02",
"last_updated": "2026-10-02",
"certification_date": "2026-10-02",
"status": "A",
"authorized_official_last_name": "SIEBENTRITT",
"authorized_official_first_name": "JOEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "571-438-0243",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.