Individual provider Active NPI

Shawn Whitehorn Sr., MS, LPC, NCC

  • Professional Counselor
  • Columbus, GA
National Provider Identifier
1144521295
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178006993 Issued in IL
Practice address
1800 Box Rd
Columbus, GA 31907-3222
Phone
(706) 545-4902
NPI assigned
Nov 5, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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 178006993 IL Primary

Addresses

Primary practice location

1800 Box Rd
Columbus, GA 31907-3222

Mailing address

1800 Box Rd
Columbus, GA 31907-3222
Phone (706) 545-4902

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
178006993ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1144521295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BOX RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319073222",
            "telephone_number": "706-545-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BOX RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319073222",
            "telephone_number": "706-545-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHORN",
        "first_name": "SHAWN",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MS, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-05",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178006993",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 14, 2013; 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.