Active NPI
Shenithia Shontel Arnold, EDD, LPC, NCC
- Mental Health Counselor
- Atlanta, GA
National Provider Identifier
1609270198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC007831
- Practice address
- 2751 Buford Hwy NE
Atlanta, GA 30324-3207 - Phone
- (678) 744-6965
- NPI assigned
- Oct 13, 2014
- Last updated
- Oct 1, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC007831 | GA | Primary |
Addresses
Primary practice location
2751 Buford Hwy NE
Atlanta, GA 30324-3207
Mailing address
8275 Eastshore Dr
Union City, GA 30291-6028
Phone (404) 895-7109
Other names 1
- Ms. Shenithia Shontel Parks
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 |
|---|---|---|---|
| LPC007831 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Journey 2 Greatness | Past | Accepting new patients | |
| Journey 2 Greatness | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Preferred Provider Organization
- Smyrna, GA
- NPI 1093191389
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Atlanta, GA
- NPI 1285275867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569888000000",
"number": "1609270198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8275 EASTSHORE DR",
"city": "UNION CITY",
"state": "GA",
"postal_code": "302916028",
"telephone_number": "404-895-7109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2751 BUFORD HWY NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303243207",
"telephone_number": "678-744-6965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNOLD",
"first_name": "SHENITHIA",
"middle_name": "SHONTEL",
"name_prefix": "Mrs.",
"credential": "EDD, LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-13",
"last_updated": "2019-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC007831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHENITHIA",
"last_name": "PARKS",
"middle_name": "SHONTEL",
"prefix": "MS.",
"credential": "M.A, B.A.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.