Active NPI
Shambria Stoll, APC, NCC
- Professional Counselor
- Marietta, GA
National Provider Identifier
1336853951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 007967
- Practice address
- 1950 Spectrum Cir SE
Marietta, GA 30067-8479 - Phone
- (678) 921-2706
- NPI assigned
- Jan 9, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 007967 | GA | Primary |
Addresses
Primary practice location
1950 Spectrum Cir SE
Marietta, GA 30067-8479
Mailing address
1950 Spectrum Cir SE Ste 200
Marietta, GA 30067-8469
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 |
|---|---|---|---|
| 007967 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Someone Cares, Inc. of Atlanta | Current | Accepting new patients | |
| Someone Cares, Inc. of Atlanta | Current | Accepting new patients | |
| Heal Atl Counseling & Wellness | Current | Accepting new patients |
Locations
1950 Spectrum Cir SE
Ste 200
Marietta, GA 30067
Phone (678) 322-8887
Interoperability endpoints
- https://api.platform.athenahealth.com/19793/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
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-
- Community/Retail Pharmacy
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- NPI 1659104438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674604800000",
"number": "1336853951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 SPECTRUM CIR SE STE 200",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300678469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 SPECTRUM CIR SE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300678479",
"telephone_number": "678-921-2706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOLL",
"first_name": "SHAMBRIA",
"credential": "APC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-09",
"last_updated": "2023-01-25",
"certification_date": "2023-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "007967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.