Individual provider Active NPI

Amanda Shyer

  • Counselor
  • Woodstock, GA
National Provider Identifier
1417625286
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
2230 Towne Lake Pkwy Ste 130
Woodstock, GA 30189-5584
Phone
(678) 234-3110
NPI assigned
Sep 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

2230 Towne Lake Pkwy Ste 130
Woodstock, GA 30189-5584

Mailing address

267 Deven Dr
Dallas, GA 30132-3358
Phone (678) 774-9788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 31, 2024 through Oct 31, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1630800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1417625286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 DEVEN DR",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301323358",
            "telephone_number": "678-774-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 TOWNE LAKE PKWY STE 130",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895584",
            "telephone_number": "678-234-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHYER",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-05",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

Verify at the official NPI Registry.