Counseling, Mindfulness, & Recovery LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

COUNSELING, MINDFULNESS, & RECOVERY LLC

Practice address

1551 Jennings Mill Rd Unit 3000B
Watkinsville, GA 30677-7280

Phone

(706) 389-8143

NPI assigned

Nov 20, 2019

Organization subpart

No

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

Authorized official

Name

Shelley Lynn Burke, LPCNPI 1144555186

Title

Sole Member

Phone

(706) 389-8143

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shelley Lynn Burke, MA, LPC, QMHP

  • Professional Counselor
  • Watkinsville, GA
  • NPI 1144555186
  NPD Authorized official

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574208000000",
    "number": "1427694918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 ATLANTA AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306012013",
            "telephone_number": "928-231-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 JENNINGS MILL RD UNIT 3000B",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777280",
            "telephone_number": "706-389-8143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING, MINDFULNESS, & RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "706-389-8143",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexus Paige Cooper
• Cynthia Cooper, RBT
• Melissa Shunta Cooper, CMA
• Courtney Corbett
• Hiram Correa, RBT
• Kacie Coursey
• Rachel Anne Cowart, CCC-SLP
• Kaelyn Coyne
• Delaney A Crawford, MSW
• Erica Crawford, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.