Individual provider Active NPI

Shannon Murphy, LPC

  • Professional Counselor
  • Decatur, GA
National Provider Identifier
1083077556
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
008275 Issued in GA
Practice address
2630 Talley St Unit 406
Decatur, Ga 30030
Decatur, GA 30030-5348
Phone
(678) 698-2188
NPI assigned
Apr 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 008275 GA Primary

Addresses

Primary practice location

2630 Talley St Unit 406
Decatur, Ga 30030
Decatur, GA 30030-5348

Mailing address

1240 Clairmont Rd Ste 203
Decatur, GA 30030-1254
Phone (678) 698-2188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241009002645 GA Practitioner - Mental Health Counselor 9537690995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8735 Dunwoody PL
Atlanta, GA 30350-2995
Phone (678) 203-0855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008275GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shannon M Murphy LLC Professional CurrentSince Jul 30, 2024 Accepting new patients
Atlanta Internal Medicine and Psychiatric Care PastSince Mar 16, 2012 Accepting new patients

Locations

8735 Dunwoody Pl
#5995
Sandy Springs, GA 30350
Phone (678) 203-0855

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1083077556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 CLAIRMONT RD STE 203",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301254",
            "telephone_number": "678-698-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 TALLEY ST UNIT 406",
            "address_2": "DECATUR, GA 30030",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300305348",
            "telephone_number": "678-698-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "SHANNON",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "008275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.