Organization Active NPI

Resolute Counseling and Consulting LLC

  • Clinical Social Worker
  • Kennesaw, GA
National Provider Identifier
1134748676
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RESOLUTE COUNSELING AND CONSULTING LLC
Practice address
1301 Shiloh Rd NW Ste 520
Kennesaw, GA 30144-7153
Phone
(770) 376-0354
NPI assigned
Apr 14, 2020
Last updated
Jun 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Authorized official

Name
Michael David Shorter, LCSWNPI 1720611775
Title
Owner/Therapist
Phone
(770) 376-0354

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Mental Health Counselor 101YM0800X NU
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

1301 Shiloh Rd NW Ste 520
Kennesaw, GA 30144-7153

Mailing address

1301 Shiloh Rd NW Ste 520
Kennesaw, GA 30144-7153
Phone (770) 376-0354

Other practice location 1

1073 Athena Ct
Acworth, GA 30101-6867
Phone (770) 853-8561

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.shorter@resolutecounselingllc.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250804001647 GA Part B Supplier - Clinic/Group Practice 3577071307 Receives reassigned benefits from 1 practitioner
Practice locations: Kennesaw, GA

National Provider Directory

National Provider Directory

Locations

1301 Shiloh Rd NW
Ste 210
Kennesaw, GA 30144

1301 Shiloh Rd NW
Ste 520
Kennesaw, GA 30144
Phone (678) 653-0741

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1134748676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SHILOH RD NW STE 520",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447153",
            "telephone_number": "770-376-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SHILOH RD NW STE 520",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447153",
            "telephone_number": "770-376-0354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1073 Athena Ct",
            "address_purpose": "LOCATION",
            "city": "Acworth",
            "state": "GA",
            "postal_code": "301016867",
            "country_code": "US",
            "telephone_number": "770-853-8561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESOLUTE COUNSELING AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-14",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "SHORTER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "770-376-0354",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.shorter@resolutecounselingllc.com",
            "affiliation": "N",
            "endpointDescription": "Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1301 Shiloh Rd NW Ste 520",
            "city": "Kennesaw",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301447153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.