Soulshine Counseling Services, LLC

Key facts

NPI

1447823976

Entity type

Organization (NPI type 2)

Primary specialty

Professional Counselor 101YP2500X

Legal business name

SOULSHINE COUNSELING SERVICES, LLC

Practice address

215 Industrial Rd
Sylvania, GA 30467-1866

Phone

(912) 209-5941

Fax

(912) 567-3600

NPI assigned

Jul 22, 2021

Organization subpart

No

Authorized official

Name

K. Michelle Ware, LPC

Title

Owner

Phone

(912) 209-5941

Practitioners 4

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

• Karen Ware Professional Counselor · Sylvania, GA · NPI 1730591314
  Medicare reassignment NPD GA · PROFESSIONAL
• Lauren Maierhoffer Amason, MED, NCC, APC Counselor · Rincon, GA · NPI 1801429212
  NPD
• Georgia Boswell Professional Counselor · Statesboro, GA · NPI 1528789849
  NPD PROFESSIONAL
• Courtney Johnson, M.ED, LPC, NCC Professional Counselor · Sylvania, GA · NPI 1578378592
  NPD (past) PROFESSIONAL

Medicare participation

Medicare fee-for-service enrollment

Enrolled in GA

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 10, 2025.

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1447823976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1982",
            "city": "SYLVANIA",
            "state": "GA",
            "postal_code": "304677182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 INDUSTRIAL RD",
            "city": "SYLVANIA",
            "state": "GA",
            "postal_code": "304671866",
            "telephone_number": "912-209-5941",
            "fax_number": "912-567-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULSHINE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-22",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "WARE",
        "authorized_official_first_name": "K. MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-209-5941",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0032339621",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, GA

• Screven County School System
• Screven Dental
• Screven Medical Associates
• Screven Primary Care
• Teresita Maria Smith, PHD, FNP-BC
• Southeast Lung & Critical Care Specialists
• Southeast Lung & Critical Care Specialists, PC
• Southland Optim Screven Emergency Medical Services LLC
• Billie Salina Stout, FNP-C
• Syl-View Health Care Center, Inc.

All providers in Sylvania, GA · Professional Counselor in Georgia