Organization Active NPI

Inspired Vision Counseling LLC

  • Mental Health Counselor
  • Rincon, GA
National Provider Identifier
1356071765
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
INSPIRED VISION COUNSELING LLC
Practice address
135 Goshen Road Ext Ste 112
Rincon, GA 31326-5568
Phone
(912) 295-3365
Fax
(912) 205-3926
NPI assigned
Jun 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Mrs. Shanda Marie Mobley-Taylor, LPCNPI 1730616004
Title
Owner/Licensed Practitioner
Phone
(912) 667-8806

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

135 Goshen Road Ext Ste 112
Rincon, GA 31326-5568

Mailing address

100 Autumn Dr
Rincon, GA 31326-5675
Phone (912) 667-8806

National Provider Directory

National Provider Directory

Locations

5805 Highway 21 S
Ste 201
Rincon, GA 31326

135 Goshen Road Ext
Ste 112
Rincon, GA 31326
Phone (912) 295-3365

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1356071765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 AUTUMN DR",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265675",
            "telephone_number": "912-667-8806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 GOSHEN ROAD EXT STE 112",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265568",
            "telephone_number": "912-295-3365",
            "fax_number": "912-205-3926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRED VISION COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "MOBLEY-TAYLOR",
        "authorized_official_first_name": "SHANDA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/LICENSED PRACTITIONER",
        "authorized_official_telephone_number": "912-667-8806",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rincon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.