Active NPI
Shirley Kay Chandler, PH.D., LPC, CRC
- Professional Counselor
- Thomasville, GA
National Provider Identifier
1609012186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC005497
- Practice address
- 2004 Ga Highway 122
Suite 7
Thomasville, GA 31757-2543 - Phone
- (229) 228-6182
- Fax
- (229) 228-4349
- NPI assigned
- Jan 5, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LPC005497 | GA | |
| Mental Health Counselor | 101YM0800X | LPC005497 | GA | |
| Professional Counselor | 101YP2500X | LPC005497 | GA | Primary |
Addresses
Primary practice location
2004 Ga Highway 122
Suite 7
Thomasville, GA 31757-2543
Mailing address
2004 Ga Highway 122
Suite 7
Thomasville, GA 31757-2543
Phone (229) 228-6182
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC005497 | GA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Opportunities & Solutions, Inc. | Professional | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231113600000",
"number": "1609012186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2004 GA HIGHWAY 122",
"address_2": "SUITE 7",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317572543",
"telephone_number": "229-228-6182",
"fax_number": "229-228-4349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2004 GA HIGHWAY 122",
"address_2": "SUITE 7",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317572543",
"telephone_number": "229-228-6182",
"fax_number": "229-228-4349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDLER",
"first_name": "SHIRLEY",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "PH.D., LPC, CRC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-05",
"last_updated": "2009-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "GA",
"license": "LPC005497",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC005497",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC005497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thomasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.