Organization Active NPI

Staygroundeed Healing, LLC

  • Professional Counselor
  • Warner Robins, GA
National Provider Identifier
1508522632
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
STAYGROUNDEED HEALING, LLC
Practice address
1239 Russell Pkwy Ste C9
Warner Robins, GA 31088-8697
Phone
(205) 615-1445
NPI assigned
Nov 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Authorized official

Name
Chardonney La'Shai Washington, LPC, NCC, CRCNPI 1275299398
Title
Mental Health Counselor/Owner
Phone
(205) 615-1445

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Rehabilitation CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 225C00000X

Addresses

Primary practice location

1239 Russell Pkwy Ste C9
Warner Robins, GA 31088-8697

Mailing address

2101 Broadway Ave
Gadsden, AL 35904-4715
Phone (205) 615-1445

Other practice location 1

2101 Broadway Ave
Gadsden, AL 35904-4715
Phone (205) 615-1445

National Provider Directory

National Provider Directory

Locations

2101 Broadway Ave
Gadsden, AL 35904
Phone (205) 615-1445

2305 Stemley Bridge Rd
Ste B
Pell City, AL 35128

1239 Russell Pkwy
Ste C9
Warner Robins, GA 31088
Phone (205) 615-1445

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775779200000",
    "number": "1508522632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 BROADWAY AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359044715",
            "telephone_number": "205-615-1445",
            "fax_number": "205-558-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 RUSSELL PKWY STE C9",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888697",
            "telephone_number": "205-615-1445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Gadsden",
            "state": "AL",
            "postal_code": "359044715",
            "country_code": "US",
            "telephone_number": "205-615-1445",
            "fax_number": "205-558-8555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STAYGROUNDEED HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-12",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "CHARDONNEY",
        "authorized_official_middle_name": "LA'SHAI",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR/OWNER",
        "authorized_official_telephone_number": "205-615-1445",
        "authorized_official_credential": "LPC, NCC, CRC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; 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.