Carmen Shumate, EDS, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

004926 Issued in GA

Practice address

126 Enterprise Path Ste 206
Hiram, GA 30141-2654

Phone

(770) 313-1773

NPI assigned

Jan 11, 2019

Last updated

Jan 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1427522507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 OBERLOCHEN WAY",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301346367",
            "telephone_number": "770-313-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 ENTERPRISE PATH STE 206",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301412654",
            "telephone_number": "770-313-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMATE",
        "first_name": "CARMEN",
        "credential": "EDS, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "004926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shielding Hearts Counseling Center
• Laura Jean Shipman
• Zaid Mohammed-Khair Shmaisani, MD
• Christine Elizabeth Shuffield, NP
• Rakendu Prakash Shukla, MD
• Landa Shynika Silas
• Mindy Lynn Simms, DDS
• Christine Sims, MA, LAPC, NCC, CGP,
• Kayon Elaine Sinclair, DNP,FNP/BC
• Harjas Singh, MD

• Professional Counselor in Hiram, GA
• Providers in Hiram, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.