Janice M. Shackleton, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

02228 Issued in GA

Legal business name

JANICE M. SHACKLETON, LPC

Practice address

3400 Peachtree Rd NE
915
Atlanta, GA 30326-1170

Phone

(404) 261-0772

NPI assigned

Jul 8, 2015

Organization subpart

No

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

Authorized official

Name

Janice Shackleton

Title

LPC

Phone

(404) 261-0772

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1609259654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 PEACHTREE RD NE",
            "address_2": "915",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261170",
            "telephone_number": "404-261-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 PEACHTREE RD NE",
            "address_2": "915",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261170",
            "telephone_number": "404-261-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANICE M. SHACKLETON, LPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "SHACKLETON",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "404-261-0772"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "02228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "02228",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Atlanta, GA
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.