Individual provider Active NPI

Shaunte Dabney, MA, LPC

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1710319348
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
011122 Issued in GA
Practice address
4433 Tell Rd SW
Atlanta, GA 30331-6720
Phone
(770) 852-0986
NPI assigned
Aug 6, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 011122 GA Primary

Addresses

Primary practice location

4433 Tell Rd SW
Atlanta, GA 30331-6720

Mailing address

4433 Tell Rd SW
Atlanta, GA 30331-6720
Phone (678) 656-6830

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
011122GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Butterfly Effect Counseling and Consulting Professional CurrentSince Mar 1, 2020 Accepting new patients

Locations

3915 Cascade Rd SW
Ste 105
Atlanta, GA 30331
Phone (404) 691-4321

950 Dannon Vw SW
Ste 4201
Atlanta, GA 30331
Phone (404) 629-6117

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1710319348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4433 TELL RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303316720",
            "telephone_number": "678-656-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4433 TELL RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303316720",
            "telephone_number": "770-852-0986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABNEY",
        "first_name": "SHAUNTE",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-06",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "011122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 14, 2021; 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.