Active NPI
Adrienne Shook
- Mental Health Counselor
- Athens, GA
National Provider Identifier
1093486086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- APC008012
- Practice address
- 1071 Founders Blvd Ste D
Athens, GA 30606-6176 - Phone
- (770) 691-1146
- NPI assigned
- Sep 21, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | APC008012 | GA | Primary |
Addresses
Primary practice location
1071 Founders Blvd Ste D
Athens, GA 30606-6176
Mailing address
200 Rivergrove Pkwy Unit A4
Athens, GA 30605-7414
Phone (706) 410-5166
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
| License | State | Type | Specialty |
|---|---|---|---|
| APC008012 | GA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632182400000",
"number": "1093486086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 RIVERGROVE PKWY UNIT A4",
"city": "ATHENS",
"state": "GA",
"postal_code": "306057414",
"telephone_number": "706-410-5166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1071 FOUNDERS BLVD STE D",
"city": "ATHENS",
"state": "GA",
"postal_code": "306066176",
"telephone_number": "770-691-1146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOOK",
"first_name": "ADRIENNE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-21",
"last_updated": "2021-09-21",
"certification_date": "2021-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "APC008012",
"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 Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.