Shenee Johnson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

2301 Peachtree Landing Cir
Fairburn, GA 30213-4270

Phone

(404) 482-0499

NPI assigned

Jan 14, 2014

Last updated

Jul 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• I Deserve Mental Wellness Services

  • Professional Counselor
  • Fairburn, GA
  • NPI 1437830874

  Mental Health

  NPD Authorized official
• Access Mental Health Agency, LLC

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1881848174
  NPD
• Transitional Family Sevices

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1972946218
  NPD (past)

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1265854004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 PEACHTREE LANDING CIR",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302134270",
            "telephone_number": "404-482-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 PEACHTREE LANDING CIR",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302134270",
            "telephone_number": "404-482-0499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2302 Parklake Dr NE Ste 350",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303452918",
            "country_code": "US",
            "telephone_number": "770-621-0469 x1104",
            "fax_number": "770-621-0466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1903 Phoenix Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303495700",
            "country_code": "US",
            "telephone_number": "678-335-9010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-14",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.

Verify at the official NPI Registry.