Active NPI
Shari F Ponder, MA, MDIV
- Professional Counselor
- Marietta, GA
National Provider Identifier
1396577466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 1950 Spectrum Cir SE Ste 200
Marietta, GA 30067-8469 - Phone
- (678) 322-8887
- NPI assigned
- Aug 17, 2024
- Last updated
- Aug 17, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | NU | ||
| Professional Counselor | 101YP2500X | NU | Primary | |
| School Counselor | 101YS0200X | GA |
Addresses
Primary practice location
1950 Spectrum Cir SE Ste 200
Marietta, GA 30067-8469
Mailing address
300 Argento Dr Apt 15304
McDonough, GA 30253-5265
Phone (404) 914-8831
Other practice location 1
300 Argento Dr Apt 15304
McDonough, GA 30253-5265
Phone (404) 914-8831
Other practice location 2
159 Mitchell Rd
Hampton, GA 30228-1729
Phone (770) 471-0844 ext. 66111
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723852800000",
"number": "1396577466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 ARGENTO DR APT 15304",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302535265",
"telephone_number": "404-914-8831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 SPECTRUM CIR SE STE 200",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300678469",
"telephone_number": "678-322-8887"
}
],
"practiceLocations": [
{
"address_1": "300 Argento Dr Apt 15304",
"address_purpose": "LOCATION",
"city": "McDonough",
"state": "GA",
"postal_code": "302535265",
"country_code": "US",
"telephone_number": "404-914-8831",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "159 Mitchell Rd",
"address_purpose": "LOCATION",
"city": "Hampton",
"state": "GA",
"postal_code": "302281729",
"country_code": "US",
"telephone_number": "770-471-0844 x66111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PONDER",
"first_name": "SHARI",
"middle_name": "F",
"credential": "MA, MDIV",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-17",
"last_updated": "2024-08-17",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "GA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.