Organization Active NPI

Emily Shupert Inc

  • Mental Health Counselor
  • Atlanta, GA
National Provider Identifier
1295468841
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EMILY SHUPERT INC
Doing business as
Simplified Life Solutions Atlanta
Practice address
3495 Piedmont Rd NE
BLDG 11, Ste 708
Atlanta, GA 30305
Phone
(404) 260-7451
NPI assigned
Jul 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Authorized official

Name
Dr. Emily Ferrara, LPC, CPCS
Title
Founder
Phone
(404) 844-3343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3495 Piedmont Rd NE
BLDG 11, Ste 708
Atlanta, GA 30305

Mailing address

3495 Piedmont Rd NE
BLDG 11, Ste 708
Atlanta, GA 30305
Phone (404) 260-7451

Other names 2

  • Simplified Life Solutions Atlanta Doing business as
  • Simplify Life Counseling and Coaching Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1295468841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 PIEDMONT RD NE",
            "address_2": "BLDG 11, STE 708",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30305",
            "telephone_number": "404-260-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3495 PIEDMONT RD NE",
            "address_2": "BLDG 11, STE 708",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30305",
            "telephone_number": "404-260-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY SHUPERT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "FERRARA",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "404-844-3343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC, CPCS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simplified Life Solutions Atlanta",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Simplify Life Counseling and Coaching",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.