Shellina R Jenkins, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC008954 Issued in GA

Practice address

4015 S Cobb Dr SE Ste 115
Smyrna, GA 30080-6315

Phone

(770) 431-2354

NPI assigned

Oct 27, 2016

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1164974960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 S COBB DR SE STE 115",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806315",
            "telephone_number": "770-431-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 S COBB DR SE STE 115",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806315",
            "telephone_number": "770-431-2354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6050 Pavestone Drive",
            "address_purpose": "LOCATION",
            "city": "Powder Springs",
            "state": "GA",
            "postal_code": "30127",
            "country_code": "US",
            "telephone_number": "678-637-1196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "SHELLINA",
        "middle_name": "R",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard C Jarrell, MD
• Jarrett L. Manning, DDS, PC
• Jason a. King, PH.D., LLC
• Hatinawedu Tina Jaya, OTR/L,MPH,CHT
• Brianna Nicole Jefferson
• Jennings W Bristol DDS PC
• Charay Jennings-Dover, M.D., PH.D.
• Courtney D Jennings, PHARMD
• Jenny Van Overbeke Brooks, PH.D., P.C.
• Miguel A Jimenez, M.D.

• Professional Counselor in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.