Organization Active NPI

Lauri Shedd Therapy Services LLC

  • Adult Mental Health Clinic/Center
  • Carrollton, GA
National Provider Identifier
1093285124
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
LAURI SHEDD THERAPY SERVICES LLC
Practice address
1325 S Park St # 1003
Carrollton, GA 30117-4433
Phone
(314) 882-0282
Fax
(470) 870-8544
NPI assigned
Dec 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Authorized official

Name
Lauri Shedd, LCSWNPI 1285183483
Title
Owner
Phone
(314) 882-0282

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1325 S Park St # 1003
Carrollton, GA 30117-4433

Mailing address

1325 S Park St # 1003
Carrollton, GA 30117-4433
Phone (314) 882-0282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230120002640 GA Part B Supplier - Clinic/Group Practice 2163769944 Receives reassigned benefits from 1 practitioner
Practice locations: Carrollton, GA

National Provider Directory

National Provider Directory

Locations

202 Carrollton St
Ste 111
Bremen, GA 30110
Phone (314) 882-0282

1325 S Park St
Carrollton, GA 30117
Phone (314) 882-0282

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1543708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1093285124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 S PARK ST # 1003",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174433",
            "telephone_number": "314-882-0282",
            "fax_number": "470-870-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S PARK ST # 1003",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174433",
            "telephone_number": "314-882-0282",
            "fax_number": "470-870-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURI SHEDD THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-02",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "SHEDD",
        "authorized_official_first_name": "LAURI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-882-0282",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.