Shades of Therapy

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SHADES OF THERAPY

Practice address

300 Colonial Center Pkwy Ste 100N
Roswell, GA 30076-4892

Phone

(414) 232-6785

NPI assigned

Feb 21, 2022

Last updated

Feb 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jasmine FerrillNPI 1508375858

Title

Owner

Phone

(414) 232-6785

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jasmine Ferrill

  • Marriage & Family Therapist
  • Alexandria, VA
  • NPI 1508375858
  NPD Authorized official

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645401600000",
    "number": "1679228365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 COLONIAL CENTER PKWY STE 100N",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 COLONIAL CENTER PKWY STE 100N",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764892",
            "telephone_number": "414-232-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADES OF THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "FERRILL",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-232-6785"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shadesoftherapy@theranest.com",
            "affiliation": "N",
            "address_1": "300 Colonial Center Pkwy Ste 100N",
            "city": "Roswell",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300764892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ses Spencer, LLC
• Jean Markley Sever, MSOTRL
• Regina M Sewell, LPC
• Abdul Shabazz
• Shadae Renee Medical Wigs
• Maryam Shahriari, PHARMD
• Mashallah Shakur, LCSW
• John Post Shallcross, PSY.D.
• Yousef Shams, MS. LPC
• Sharisma Yaa Fahie LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Roswell, GA
• Providers in Roswell, GA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.