Shannon M Eller, LPC, CCADC, NCC, CSS

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT001231 Issued in GA

Practice address

1815 N Expressway Ste B
Griffin, GA 30223-1185

Phone

(678) 408-4622

NPI assigned

Oct 20, 2009

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

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.

• Brighter Tomorrows Consulting, LLC

  • Marriage & Family Therapist
  • Griffin, GA
  • NPI 1952757395

  Professional

  NPD (past) Authorized official
• Brighter Tomorrows Behavioral Health Services

  • Community/Behavioral Health Agency
  • Griffin, GA
  • NPI 1447895107

  Professional

  NPD (past)

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1679809016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 N EXPRESSWAY STE B",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302231185",
            "telephone_number": "678-408-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 N EXPRESSWAY STE B",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302231185",
            "telephone_number": "678-408-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLER",
        "first_name": "SHANNON",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LPC, CCADC, NCC, CSS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-20",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "PC005894",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Q Edwards, LDO
• Katina Edwards, APRN-PMHNP
• Jeanne Nicole Eisenbrown, MD
• Sarah Eldridge, OTR/L
• Rosalind Elaine Eleby
• John M Ellerbee, PT
• Myia Ellerbee
• Heather Renee Ellis, PT, DPT
• Olivia Kathleen Ellis, BCBA
• Ashley Elizabeth English, LMT

• Marriage & Family Therapist in Griffin, GA
• Providers in Griffin, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.