Active NPI
Meagan Shipes
- Mental Health Counselor
- Marietta, GA
National Provider Identifier
1316772650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- APC009655
- Practice address
- 3535 Roswell Rd Ste 38
Marietta, GA 30062-8829 - Phone
- (470) 219-8775
- NPI assigned
- Sep 5, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | APC009655 | GA | Primary |
Addresses
Primary practice location
3535 Roswell Rd Ste 38
Marietta, GA 30062-8829
Mailing address
7500 Roswell Rd Unit 40
Atlanta, GA 30350-4834
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 |
|---|---|---|---|
| APC009655 | GA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725494400000",
"number": "1316772650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7500 ROSWELL RD UNIT 40",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303504834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 ROSWELL RD STE 38",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300628829",
"telephone_number": "470-219-8775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIPES",
"first_name": "MEAGAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-05",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "APC009655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
- Mesafint Tadesse Shiferaw, MD
- Shilo Enterprises PC (Thrive Wellness Center)
- Shiloh Valley Clinic LLC
- Shingala Dental Associates LLC (Thornton Dental Wellness)
- Abhikumar Shingala, DMD
- Pamela Bazemore Shippy, PHARM.D.
- Shireen Hunte Consulting LLC
- Kristi Renee Shiver, NP-C
- Eliana Rose Shmookler
- Shannon Ashe Shockley, FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.