Active NPI
Shuntrice Stapleton
- School Counselor
- Hephzibah, GA
National Provider Identifier
1508750506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 1813019
- Practice address
- 2003 Storey Mill Estate Dr
Hephzibah, GA 30815-7807 - Phone
- (706) 578-4367
- NPI assigned
- Jun 4, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NA | GA | |
| School Counselor | 101YS0200X | 1813019 | GA | Primary |
Addresses
Primary practice location
2003 Storey Mill Estate Dr
Hephzibah, GA 30815-7807
Mailing address
PO Box 193
Wrens, GA 30833-0193
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1813019 | GA | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748995200000",
"number": "1508750506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 193",
"city": "WRENS",
"state": "GA",
"postal_code": "308330193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2003 STOREY MILL ESTATE DR",
"city": "HEPHZIBAH",
"state": "GA",
"postal_code": "308157807",
"telephone_number": "706-578-4367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAPLETON",
"first_name": "SHUNTRICE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-04",
"last_updated": "2025-06-04",
"certification_date": "2025-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "NA",
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "GA",
"license": "1813019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hephzibah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.