Active NPI
Shelida Stuart Johnson, MA, NCC, LPC
- Professional Counselor
- Stonecrest, GA
National Provider Identifier
1366044430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC014146
- Practice address
- 4397 Idlewood Park
Stonecrest, GA 30038-6251 - Phone
- (404) 935-2943
- NPI assigned
- Nov 12, 2020
- Last updated
- Dec 28, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | ||
| Professional Counselor | 101YP2500X | LPC014146 | GA | Primary |
Addresses
Primary practice location
4397 Idlewood Park
Stonecrest, GA 30038-6251
Mailing address
4397 Idlewood Park
Stonecrest, GA 30038-6251
Phone (404) 935-2943
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000000 | Other | GA | 000000000 |
| LPC014146 | Other | GA | LICENSED PROFESSIONAL COUNSELOR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Doxy.me |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC014146 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703721600000",
"number": "1366044430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4397 IDLEWOOD PARK",
"city": "STONECREST",
"state": "GA",
"postal_code": "300386251",
"telephone_number": "404-935-2943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4397 IDLEWOOD PARK",
"city": "STONECREST",
"state": "GA",
"postal_code": "300386251",
"telephone_number": "404-935-2943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUART JOHNSON",
"first_name": "SHELIDA",
"credential": "MA, NCC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-12",
"last_updated": "2023-12-28",
"certification_date": "2023-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC014146",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "000000000",
"identifier": "00000000",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PROFESSIONAL COUNSELOR",
"identifier": "LPC014146",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Doxy.me",
"affiliation": "N",
"address_1": "4397 Idlewood Park",
"city": "Stonecrest",
"state": "GA",
"country_code": "US",
"postal_code": "300386251",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Stonecrest, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.