Individual provider Active NPI

Tujuana Shaw Jallah, LPC

  • Mental Health Counselor
  • Savannah, GA
National Provider Identifier
1093416117
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC013553 Issued in GA
Practice address
1698 Stillwood Dr
Savannah, GA 31419-2513
Phone
(912) 412-1275
Fax
(912) 257-7282
NPI assigned
Mar 15, 2023
Last updated
Oct 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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 LPC013553 GA Primary

Addresses

Primary practice location

1698 Stillwood Dr
Savannah, GA 31419-2513

Mailing address

11605 Abercorn St Ste 100
Savannah, GA 31419-1903
Phone (912) 412-1275

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
LPC013553GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginning Therapy and Consultation Single Specialty CurrentSince Apr 23, 2023 Accepting new patients

Locations

11605 Abercorn St
Savannah, GA 31419
Phone (615) 619-2585

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1093416117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11605 ABERCORN ST STE 100",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191903",
            "telephone_number": "912-412-1275",
            "fax_number": "912-257-7282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1698 STILLWOOD DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314192513",
            "telephone_number": "912-412-1275",
            "fax_number": "912-257-7282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALLAH",
        "first_name": "TUJUANA",
        "middle_name": "SHAW",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC013553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.