Georgeanna Jane Shirley, LPCC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E002330 Issued in OH

Practice address

801 Space Dr
Beavercreek, OH 45434-7162

Phone

(937) 431-3870

Fax

(937) 431-3871

NPI assigned

Dec 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cca Companies LLC

  • Clinical Psychologist
  • Beavercreek Township, OH
  • NPI 1427202647
  NPD (past)
• Choices Changes Attitudes, LLC

  • Clinical Psychologist
  • Beavercreek, OH
  • NPI 1679633515

  Professional

  NPD (past)

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659436582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SPACE DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454347162",
            "telephone_number": "937-431-3870",
            "fax_number": "937-431-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SPACE DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454347162",
            "telephone_number": "937-431-3870",
            "fax_number": "937-431-3871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRLEY",
        "first_name": "GEORGEANNA",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "LPCC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E002330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheli Shelmire
• Sheri Lynn Shepherd, OTR/L
• Katherine Sher, OTD, OTR/L
• Dhruvi Sheth
• Ellina Shields, D.P.T.
• Renee Louise Shiveley, PHARMD
• Rachel Shon, OTR/L
• Alexandra Susan Shonk, APRN, CNP, FNP-BC
• Carla S Shorter, O.D.
• Lara Shoukair, MD

• Professional Counselor in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.