Individual provider Active NPI

Shatiah Dow-Reyes, MS, LPC

  • Professional Counselor
  • Columbus, GA
National Provider Identifier
1114384161
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC007563 Issued in GA
Practice address
5443 Armour Rd
Apt 501
Columbus, GA 31909-4580
Phone
(678) 478-2562
NPI assigned
Jan 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC007563 GA
Professional Counselor 101YP2500X LPC007563 GA Primary

Addresses

Primary practice location

5443 Armour Rd
Apt 501
Columbus, GA 31909-4580

Mailing address

5443 Armour Rd
Columbus, GA 31909-4580

Other identifiers 1

IdentifierTypeStateIssuer
LPC007563OtherGALPC OF GEORGIA

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC007563GAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1114384161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5443 ARMOUR RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319094580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5443 ARMOUR RD",
            "address_2": "APT 501",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319094580",
            "telephone_number": "678-478-2562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOW-REYES",
        "first_name": "SHATIAH",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC007563",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC OF GEORGIA",
            "identifier": "LPC007563",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.