Active NPI
Shameka Rena Pointer
- Counseling Psychologist
- Jonesboro, GA
National Provider Identifier
1215534367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- LPC010376
- Practice address
- 149 S McDonough St Ste 200
Jonesboro, GA 30236-3688 - Phone
- (770) 905-2517
- NPI assigned
- Oct 1, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | LPC010376 | GA | Primary |
Addresses
Primary practice location
149 S McDonough St Ste 200
Jonesboro, GA 30236-3688
Mailing address
149 S McDonough St Ste 200
Jonesboro, GA 30236-3688
Phone (770) 905-2517
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 059668529 | Other | GA | DRIVERS LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | openheartcounselingservices@outlook.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC010376 | GA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601510400000",
"number": "1215534367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 S MCDONOUGH ST STE 200",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302363688",
"telephone_number": "770-905-2517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 S MCDONOUGH ST STE 200",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302363688",
"telephone_number": "770-905-2517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POINTER",
"first_name": "SHAMEKA",
"middle_name": "RENA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-01",
"last_updated": "2020-10-01",
"certification_date": "2020-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "GA",
"license": "LPC010376",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE",
"identifier": "059668529",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "openheartcounselingservices@outlook.com",
"affiliation": "N",
"endpointDescription": "Off McDonough St",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "149 S McDonough St Ste 200",
"city": "Jonesboro",
"state": "GA",
"country_code": "US",
"postal_code": "302363688",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jonesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.