Active NPI
Shameika Worthy, LPC
- Professional Counselor
- Thomaston, GA
National Provider Identifier
1285313528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC013797
- Practice address
- 206 Creekside Manor Dr
Thomaston, GA 30286-3854 - Phone
- (770) 584-0894
- NPI assigned
- Jul 13, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Counselor | 101YS0200X | GA | ||
| Professional Counselor | 101YP2500X | LPC013797 | GA | Primary |
Addresses
Primary practice location
206 Creekside Manor Dr
Thomaston, GA 30286-3854
Mailing address
206 Creekside Manor Dr
Thomaston, GA 30286-3854
Phone (770) 584-0894
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC013797 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689206400000",
"number": "1285313528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 CREEKSIDE MANOR DR",
"city": "THOMASTON",
"state": "GA",
"postal_code": "302863854",
"telephone_number": "770-584-0894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 CREEKSIDE MANOR DR",
"city": "THOMASTON",
"state": "GA",
"postal_code": "302863854",
"telephone_number": "770-584-0894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORTHY",
"first_name": "SHAMEIKA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-13",
"last_updated": "2023-07-13",
"certification_date": "2023-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC013797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thomaston, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.