Individual provider Active NPI

Shelley Akerman, LPC

  • Professional Counselor
  • Alpharetta, GA
National Provider Identifier
1104476639
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC011117 Issued in GA
Practice address
12655 Birmingham Hwy Ste 302
Alpharetta, GA 30004-5199
Phone
(470) 223-2479
NPI assigned
Sep 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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 LPC011117 GA Primary

Addresses

Primary practice location

12655 Birmingham Hwy Ste 302
Alpharetta, GA 30004-5199

Mailing address

12655 Birmingham Hwy Ste 302
Alpharetta, GA 30004-5199
Phone (470) 223-2479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1104476639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12655 BIRMINGHAM HWY STE 302",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300045199",
            "telephone_number": "470-223-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12655 BIRMINGHAM HWY STE 302",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300045199",
            "telephone_number": "470-223-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKERMAN",
        "first_name": "SHELLEY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC011117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.