Individual provider Active NPI

Shaqutia Shena Florence, LPC

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1376122267
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC014206 Issued in GA
Practice address
1200 Altmore Ave Ste 200
Atlanta, GA 30342-2495
Phone
(678) 426-2930
Fax
(404) 256-2795
NPI assigned
Apr 7, 2021
Last updated
Jan 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC014206 GA Primary

Addresses

Primary practice location

1200 Altmore Ave Ste 200
Atlanta, GA 30342-2495

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address shaqutiaflorence@afcounseling.com
Direct Messaging Address shaqutiaflorence@afcounseling.com
Direct Messaging Address shaqutiaflorence@afcounseling.com

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240223001595 GA Practitioner - Mental Health Counselor 5294179784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

Practice addresses (Care Compare)

1200 Altmore Ave
Suite 200
Atlanta, GA 30342-2495
Phone (678) 426-2930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Flourish Family Therapy Mental Health CurrentSince Feb 18, 2024 Accepting new patients
Personal Recovery Network LLC Professional CurrentSince Jan 10, 2024 Accepting new patients
Atlanta Family Counseling Center, Inc Mental Health PastSince Apr 11, 2021 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

190 Camden Hill Rd
Ste A
Lawrenceville, GA 30046
Phone (770) 513-8988

1200 Altmore Ave
Ste 200
Sandy Springs, GA 30342
Phone (678) 426-2930

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1376122267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N SCOTTSDALE RD STE 2500",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ALTMORE AVE STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303422495",
            "telephone_number": "678-426-2930",
            "fax_number": "404-256-2795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORENCE",
        "first_name": "SHAQUTIA",
        "middle_name": "SHENA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC014206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shaqutiaflorence@afcounseling.com",
            "affiliation": "N",
            "address_1": "190 Camden Hill Rd Ste A",
            "city": "Lawrenceville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300462448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shaqutiaflorence@afcounseling.com",
            "affiliation": "N",
            "address_1": "190 Camden Hill Rd Ste A",
            "city": "Lawrenceville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300462448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shaqutiaflorence@afcounseling.com",
            "affiliation": "N",
            "address_1": "190 Camden Hill Rd Ste A",
            "city": "Lawrenceville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300462448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.