Patti P Shipp, LPC, MAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC004304 Issued in GA

Practice address

46 Wall Street Way Unit 2
Toccoa, GA 30577-6236

Phone

(770) 990-3754

NPI assigned

Mar 19, 2009

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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Georgia Mountains Community ServicesGroup PAC ID 8921094400, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Georgia Mountains Community Services

  • Mental Health Counselor
  • Cumming, GA
  • NPI 1063522035
  Medicare reassignment Care Compare group NPD
• Nusoul Counseling

  • Professional Counselor
  • Toccoa, GA
  • NPI 1780483784
  NPD Authorized official
• Integrated Counseling, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oakwood, GA
  • NPI 1497291942
  NPD (past)

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1265673305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CAMP RD",
            "city": "EASTANOLLEE",
            "state": "GA",
            "postal_code": "305383085",
            "telephone_number": "709-903-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 WALL STREET WAY UNIT 2",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305776236",
            "telephone_number": "770-990-3754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPP",
        "first_name": "PATTI",
        "middle_name": "P",
        "credential": "LPC, MAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-19",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC004304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanders Drugs LLC
• Sanders Drugs LLC
• Kenneth G Schneider, O.D.
• Linda Mary Scott, C-FNP
• Ellen M Seib, P.T.
• Karen Elizabeth Shore, WHNP
• Shannon G Shuler, MS,FNP,CEN
• Linda H Simmons, RPH
• Stephen T Small, N.P.
• Sarah Holmes Smallwood, LPC

• Mental Health Counselor in Toccoa, GA
• Providers in Toccoa, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.