Shakenya Burch, LPC, NCC, CPCS, ACS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC011000 Issued in GA

Practice address

3200 Pointe Pkwy Ste 400
Peachtree Corners, GA 30092-3370

Phone

(678) 259-9298

Fax

(678) 585-6897

NPI assigned

Aug 16, 2018

Last updated

Sep 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Trust2Change, LLC.

  • Professional Counselor
  • Peachtree Corners, GA
  • NPI 1700427820
  NPD Authorized official

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1124508452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6106 BOXELDER CV",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274058244",
            "telephone_number": "678-587-8135",
            "fax_number": "678-585-6897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 POINTE PKWY STE 400",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300923370",
            "telephone_number": "678-259-9298",
            "fax_number": "678-585-6897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCH",
        "first_name": "SHAKENYA",
        "credential": "LPC, NCC, CPCS, ACS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC005453",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC011000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelique Brown
• Asiah Brown, MS
• Jessica Brown, DPT
• Melissa Brown, LPC
• Blake Buchanan
• Ashley C Burris, NP
• Kaitlin Byrne, LPC
• C.E.O. Professional Services, LLC
• Gabrielle Reyes Cafferatta, MA, BCBA, LBA
• Alex Canas

• Professional Counselor in Peachtree Corners, GA
• Providers in Peachtree Corners, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.