Shanique Griffiths, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC009488 Issued in GA

Practice address

2580 Broadmoor CT
Snellville, GA 30039

Phone

(404) 418-2164

NPI assigned

Aug 1, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grady Memorial Hospital CorporationGroup PAC ID 7517032998, 365 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grady Memorial Hospital Corporation

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1114243813
  Medicare reassignment Care Compare group NPD
• Grow-N2B-Better Therapeutic Services

  • Professional Counselor
  • Lilburn, GA
  • NPI 1679258610
  NPD Authorized official
• Access Mental Health Agency, LLC

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1881848174
  Medicare reassignment
• Grady Memorial Hospital Corporation

  • Rehabilitation Hospital
  • Atlanta, GA
  • NPI 1336961119
  NPD

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1356865265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 BROADMOOR CT",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300394474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 BROADMOOR CT",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "30039",
            "telephone_number": "404-418-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITHS",
        "first_name": "SHANIQUE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC009488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Elaine Grey
• Susan Walker Grey, MD
• Camille D Grier, LPC
• Sacoria Grier
• Daniel A Griffin, PT, DPT
• Ashley Littrell Griffitts
• Thomas A. Grillo, M.D.
• Andrea Grimes
• Leeann Grimes
• Nancy R. Griner, M.D.

• Professional Counselor in Snellville, GA
• Providers in Snellville, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.