Active NPI
Laura Elizabeth Shelton, LPC
- Professional Counselor
- Atlanta, GA
National Provider Identifier
1184960361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC008242
- Practice address
- 80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3050 - Phone
- (404) 616-4792
- Fax
- (404) 616-4737
- NPI assigned
- Dec 17, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701005372 | VA | |
| Professional Counselor | 101YP2500X | LPC008242 | GA | Primary |
Addresses
Primary practice location
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3050
Mailing address
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3050
Phone (404) 616-4792
Other practice location 1
620 Court St
Fifth Floor
Lynchburg, VA 24504-1312
Phone (434) 485-8863
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC008242 | GA | MD | Professional Counselor |
| 0701005372 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680220800000",
"number": "1184960361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 JESSE HILL JR DR SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303033050",
"telephone_number": "404-616-4792",
"fax_number": "406-616-4737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 JESSE HILL JR DR SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303033050",
"telephone_number": "404-616-4792",
"fax_number": "404-616-4737"
}
],
"practiceLocations": [
{
"address_1": "620 Court St",
"address_2": "FIFTH FLOOR",
"address_purpose": "LOCATION",
"city": "Lynchburg",
"state": "VA",
"postal_code": "245041312",
"country_code": "US",
"telephone_number": "434-485-8863",
"fax_number": "434-485-8877",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHELTON",
"first_name": "LAURA",
"middle_name": "ELIZABETH",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-17",
"last_updated": "2023-03-31",
"certification_date": "2023-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701005372",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC008242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.