Active NPI
Sheryl Dobson, COUNSELOR, MA
- Counselor
- Hampton, GA
National Provider Identifier
1225816978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 7190134
- Practice address
- 11345 Tara Blvd Ste D
Hampton, GA 30228-6488 - Phone
- (678) 829-6346
- NPI assigned
- Sep 14, 2023
- Last updated
- Sep 14, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 7190134 | GA | Primary |
| Pastoral Counselor | 101YP1600X | 7190134 | GA |
Addresses
Primary practice location
11345 Tara Blvd Ste D
Hampton, GA 30228-6488
Mailing address
11345 Tara Blvd Suite D #238
Hampton, GA 30228-6488
Phone (678) 829-6346
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Counseling | Health Information Exchange (HIE) | Diamond Star Counseling |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7190134 | GA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694649600000",
"number": "1225816978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11345 TARA BLVD SUITE D #238",
"city": "HAMPTON",
"state": "GA",
"postal_code": "302286488",
"telephone_number": "678-829-6346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11345 TARA BLVD STE D",
"city": "HAMPTON",
"state": "GA",
"postal_code": "302286488",
"telephone_number": "678-829-6346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBSON",
"first_name": "SHERYL",
"name_prefix": "Mrs.",
"credential": "COUNSELOR, MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-14",
"last_updated": "2023-09-14",
"certification_date": "2023-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "GA",
"license": "7190134",
"primary": true
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "GA",
"license": "7190134",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Counseling",
"affiliation": "Y",
"endpointDescription": "Counseling",
"affiliationName": "Diamond Star Counseling",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "11345 Tara Blvd Suite D #238",
"address_2": "11345 Tara Blvd Suite D #238",
"city": "Hampton",
"state": "GA",
"country_code": "US",
"postal_code": "30228",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hampton, GA
- Diamond Multi Services Inc
- Claude M Dijuste
- Tina Dillard, RN
- Matilda Juliet Dinkins, CRC
- Eisha Dixon
- Beverly Yvette Dorsey, ED.D, NCC, LPC, MAC
- Remilekun Susan Durojaiye, DPT
- Glendora Dvine, LPC
- Dynamic Infusion Solutions Powered by Full Plate Industries, LLC (Dynamic Infusion Solutions)
- E Medical Staffing
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.