Shannon Thome-Stapleton, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC010108 Issued in GA

Practice address

678 Tom Brewer Rd
Loganville, GA 30052-4005

Phone

(770) 554-3599

NPI assigned

Apr 17, 2018

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

Other identifiers 1

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": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1225525199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 SPRING PL",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552072",
            "telephone_number": "404-563-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "678 TOM BREWER RD",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300524005",
            "telephone_number": "770-554-3599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "678 Tom Brewer Rd",
            "address_purpose": "LOCATION",
            "city": "Loganville",
            "state": "GA",
            "postal_code": "300524005",
            "country_code": "US",
            "telephone_number": "770-554-3599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOME-STAPLETON",
        "first_name": "SHANNON",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC010108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82-5177075",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Reset Room Counseling and Coaching LLC
• The Shafiq Group
• Shelba Jean Thiel, FNP
• Lawanda Thomas
• Priscilla Mary Thomas, DNP, FNP
• Jennifer Thompson
• Mende R Thompson, LMT
• Rene A. Thornton-Leonard, DDS
• Tejuola Thorpe
• Three Fold Chiropractic & Wellness Center PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.