Shundra Ptomey Gichuru

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C3769A Issued in AL

Practice address

3318 Wentwood Cir
Adamsville, AL 35005-2439

Phone

(205) 329-5859

NPI assigned

May 21, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Garden Wellness Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Adamsville, AL
  • NPI 1609534445
  NPD Authorized official

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1457926644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3318 WENTWOOD CIR",
            "city": "ADAMSVILLE",
            "state": "AL",
            "postal_code": "350052439",
            "telephone_number": "205-329-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3318 WENTWOOD CIR",
            "city": "ADAMSVILLE",
            "state": "AL",
            "postal_code": "350052439",
            "telephone_number": "205-329-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GICHURU",
        "first_name": "SHUNDRA",
        "middle_name": "PTOMEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "C3769A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Thegardenwellnesscenter@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "3318 Wentwood Cir",
            "city": "Adamsville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "350052439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anthony J Brooklere, PHARMD
• Johnny J Brooklere, PHARMD
• Campbell Pharmacy
• Boyd Kenway Cougle Jr., PHARMD
• Thomas Lynn Dunn, DMD LLC
• Deanna Hatcher, LPC
• Salonya Howard, LPC
• Ivy Gate LLC
• Mark J. Richman, MD PC
• New Path Health Career Center, LLC

• Mental Health Counselor in Adamsville, AL
• Providers in Adamsville, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.