Active NPI
Katherine Lenai Sheppard, LPC
- Professional Counselor
- Atlanta, GA
National Provider Identifier
1407350945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC009459
- Practice address
- 7340 Thoreau Cir
Atlanta, GA 30349-1063 - Phone
- (760) 617-0300
- NPI assigned
- Mar 20, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC009459 | GA | Primary |
Addresses
Primary practice location
7340 Thoreau Cir
Atlanta, GA 30349-1063
Mailing address
7340 Thoreau Cir
Atlanta, GA 30349-1063
Phone (760) 617-0300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82-1256707 | Other | IRS DEPARTMENT OF THE TREASURY INTERNAL REVEUE SERVICE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC009459 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521504000000",
"number": "1407350945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7340 THOREAU CIR",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303491063",
"telephone_number": "760-617-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7340 THOREAU CIR",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303491063",
"telephone_number": "760-617-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPPARD",
"first_name": "KATHERINE",
"middle_name": "LENAI",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-20",
"last_updated": "2018-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC009459",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IRS DEPARTMENT OF THE TREASURY INTERNAL REVEUE SERVICE",
"identifier": "82-1256707",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.