Active NPI
The Green Shelf, LLC
- Mental Health Counselor
- Atlanta, GA
National Provider Identifier
1144821265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- THE GREEN SHELF, LLC
- Practice address
- 154 Newry Dr
Atlanta, GA 30349-8112 - Phone
- (470) 227-1079
- NPI assigned
- Nov 4, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. April Denise Brown, LPC
- Title
- Licensed Professional Counselor
- Phone
- (470) 227-1079
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| School Counselor | 101YS0200X | |||
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
154 Newry Dr
Atlanta, GA 30349-8112
Mailing address
154 Newry Dr
Atlanta, GA 30349-8112
Phone (678) 687-4405
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003230778A | Medicaid | GA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604448000000",
"number": "1144821265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 NEWRY DR",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303498112",
"telephone_number": "678-687-4405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 NEWRY DR",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303498112",
"telephone_number": "470-227-1079"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE GREEN SHELF, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-04",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "APRIL",
"authorized_official_middle_name": "DENISE",
"authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "470-227-1079",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YS0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003230778A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
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- The Growth Grove Psychological Services, LLC
- The Hand & Upper Extremity Rehabilitation Center of Georgia LLC
- The Hand and Upper Extremity Center of Ga, PC
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- The Handler Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.