Individual provider Active NPI

Chardonney La'Shai Washington, LPC, NCC, CRC

  • Professional Counselor
  • Warner Robins, GA
National Provider Identifier
1275299398
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC05028 Issued in AL
Practice address
1239 Russell Pkwy Ste C9
Warner Robins, GA 31088-8697
Phone
(205) 615-1445
Fax
(205) 558-8555
NPI assigned
Nov 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X ALC03889 AL
Professional Counselor 101YP2500X LPC016435 GA
Rehabilitation Counselor 225C00000X 1736941
Professional Counselor 101YP2500X 0701015723 VA
Professional Counselor 101YP2500X LPC05028 AL Primary

Addresses

Primary practice location

1239 Russell Pkwy Ste C9
Warner Robins, GA 31088-8697

Mailing address

1239 Russell Pkwy Ste C9
Warner Robins, GA 31088-8697
Phone (205) 615-1445

Other practice location 1

2101 Broadway Ave
Gadsden, AL 35904-4715
Phone (205) 615-1445

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

LicenseStateTypeSpecialty
ALC03889ALMDCounselor
LPC05028ALMDProfessional Counselor
LPC016435GAMDProfessional Counselor
0701015723VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Staygroundeed Healing, LLC Mental Health CurrentSince Nov 1, 2021 Accepting new patients
Teladoc Health Medical Group, P.a. Counselor Current Accepting new patients

Locations

2101 Broadway Ave
Gadsden, AL 35904
Phone (205) 615-1445

2305 Stemley Bridge Rd
Ste B
Pell City, AL 35128

1239 Russell Pkwy
Ste C9
Warner Robins, GA 31088
Phone (205) 615-1445

Interoperability endpoints

  • Direct secure messaging: chardonneywashington@tdh.allscriptsdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1275299398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 RUSSELL PKWY STE C9",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888697",
            "telephone_number": "205-615-1445",
            "fax_number": "205-558-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 RUSSELL PKWY STE C9",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888697",
            "telephone_number": "205-615-1445",
            "fax_number": "205-558-8555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Gadsden",
            "state": "AL",
            "postal_code": "359044715",
            "country_code": "US",
            "telephone_number": "205-615-1445",
            "fax_number": "205-558-8555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "CHARDONNEY",
        "middle_name": "LA'SHAI",
        "credential": "LPC, NCC, CRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-12",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "ALC03889",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC016435",
            "primary": false
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": "1736941",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701015723",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "LPC05028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; 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.