Shelley Northrup, LPC, ED.S, MH.S

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC010477 Issued in GA

Practice address

11138 State Bridge Rd Ste 100a
Alpharetta, GA 30022-7465

Phone

(678) 274-4936

NPI assigned

Apr 19, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/odysseycounseling/r4/

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.

• Odyssey Family Counseling Center Corporation

  • Mental Health Counselor
  • College Park, GA
  • NPI 1689604605
  NPD (past)

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1609220326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11138 STATE BRIDGE ROAD",
            "address_2": "SUITE 100A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303373605",
            "telephone_number": "678-274-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11138 STATE BRIDGE RD STE 100A",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300227465",
            "telephone_number": "678-274-4936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1919 John Wesley Ave",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303373605",
            "country_code": "US",
            "telephone_number": "404-762-9190 x228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORTHRUP",
        "first_name": "SHELLEY",
        "credential": "LPC, ED.S, MH.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-19",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC005359",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC010477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Point Periodontics Center LLC
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• Northfall Psychiatry & Medicine
• Northpoint Dental Group PC
• Northside Hospital, Inc.
• Northside Plastic Surgery Associates LLC
• Northside Primary Care, Inc.
• Northside Psychological Services, Inc.
• Northstar Surgical Assistants

• Mental Health Counselor in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.