NPIMap

Organization Active NPI

Shine Healthcare Group

  • Mental Health Counselor
  • Nashville, TN
National Provider Identifier
1346935020
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SHINE HEALTHCARE GROUP
Practice address
424 Church St Ste 2000
Nashville, TN 37219-3304
Phone
(470) 870-2402
Fax
(404) 393-3441
NPI assigned
Apr 7, 2023
Organization subpart
Yes
Parent organization
SHINE HEALTHCARE GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

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

Authorized official

Name
Jasmin L Booker
Title
Coo
Phone
(404) 491-7716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

424 Church St Ste 2000
Nashville, TN 37219-3304

Mailing address

3631 Chamblee Tucker Rd Ste A288
Atlanta, GA 30341-4415

National Provider Directory

National Provider Directory
Tax ID family
Shine Healthcare Group7 organizations share this tax ID, including this one
Part of
Shine Healthcare Group

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680825600000",
    "number": "1346935020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3631 CHAMBLEE TUCKER RD STE A288",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 CHURCH ST STE 2000",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372193304",
            "telephone_number": "470-870-2402",
            "fax_number": "404-393-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE HEALTHCARE GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHINE HEALTHCARE GROUP",
        "enumeration_date": "2023-04-07",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "BOOKER",
        "authorized_official_first_name": "JASMIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "404-491-7716"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.

Verify at the official NPI Registry.