Shondalea M Jensen, LAPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

APC002685 Issued in GA

Practice address

153 Independence Dr
Carrollton, GA 30116-9000

Phone

(770) 836-6678

Fax

(770) 830-2266

NPI assigned

Jan 10, 2012

Last updated

Jan 10, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pathways Center for Behavioral & Developmental Growth

  • Community/Behavioral Health Agency
  • Newnan, GA
  • NPI 1407492846
  NPD (past)

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1154691087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 INDEPENDENCE DR",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301169000",
            "telephone_number": "770-836-6678",
            "fax_number": "770-830-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 INDEPENDENCE DR",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301169000",
            "telephone_number": "770-836-6678",
            "fax_number": "770-830-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "SHONDALEA",
        "middle_name": "M",
        "credential": "LAPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "APC002685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill S Jarrell, M.A., CCC-A
• Crystal Jeffers, M.ED., CCC-SLP
• Joseph Jellicorse, M.D.
• Gerard Jenkins
• Dillon Jennings
• Danielle Elise Jett Rutherford, CCC-SLP
• Christopher R Jewell, M.D.
• Christy C Jewell, FNP-C
• Jgrubb Counseling LLC
• Rajat Jhanjee, MD

• Counselor in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.