Active NPI
Shawna Critelli
- Professional Counselor
- Marietta, GA
National Provider Identifier
1528831385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC010032
- Practice address
- 1000 Johnson Ferry Rd Ste E150
Marietta, GA 30068-2176 - Phone
- (678) 824-6893
- NPI assigned
- Nov 3, 2023
- Last updated
- Nov 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC010032 | GA | Primary |
Addresses
Primary practice location
1000 Johnson Ferry Rd Ste E150
Marietta, GA 30068-2176
Mailing address
2109 Kinsmon Dr
Marietta, GA 30062-8162
Phone (404) 408-0384
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 |
|---|---|---|---|
| LPC010032 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elgindale Partners, LLC | Current | Accepting new patients |
Locations
1000 Johnson Ferry Rd
Ste E150
Marietta, GA 30068
Phone (404) 435-0718
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1528831385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2109 KINSMON DR",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300628162",
"telephone_number": "404-408-0384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 JOHNSON FERRY RD STE E150",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300682176",
"telephone_number": "678-824-6893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRITELLI",
"first_name": "SHAWNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-03",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC010032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
- Carol P Crisco, MD
- Michael Aaron Crisp, PAA
- Patrick J Criss, D.C.
- Cristi Y. Cheek, D.M.D., P.C. (Cheek Dental)
- Criswell Medical LLC (Natural Glow Aesthetics and Wellness)
- Meredith Crittenden, BCBA
- Sharron Leigh Crittenden, DACM, L.AC.
- Ashley Crittendon, D.C.
- Ashley W Crocker, CRNA
- Jennette H Crocker, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.