Kristen E. Shoemaker, MAED, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

012646 Issued in GA

Practice address

555 Sun Valley Dr Ste L3
Roswell, GA 30076-5630

Phone

(404) 369-8957

NPI assigned

May 1, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2025 through Jan 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Renovating Hope Counseling and Spiritual Direction, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Roswell, GA
  • NPI 1124831318
  NPD Authorized official

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

{
    "created_epoch": "1272672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1396062295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 DEWPOINT LN",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300227144",
            "telephone_number": "843-412-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SUN VALLEY DR STE L3",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765630",
            "telephone_number": "404-369-8957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOEMAKER",
        "first_name": "KRISTEN",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "MAED, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-01",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "5403",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "012646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPESS",
            "identifier": "1124831318",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shaanan Satish Shetty, MD
• Shield Homecare
• Katherine Hufham Shiffer
• Lisa Shilman, D.D.S
• Hannah Elizabeth Shirling, BCBA
• Melissa B Shub, SLP
• Jill Shults, MMSC-CCC/SPEECH PATH
• James C. Shumans, PHARMD
• Emily S Shuster, OTR/L
• Shula Siame, RBT

• Mental Health Counselor in Roswell, GA
• Providers in Roswell, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.