Active NPI
Shubha Swamy
- Mental Health Counselor
- Marietta, GA
National Provider Identifier
1720120058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 007700
- Practice address
- 1225 Johnson Ferry Rd Ste 170
Marietta, GA 30068-2727 - Phone
- (770) 847-0358
- NPI assigned
- Feb 13, 2007
- 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 | 007700 | GA | Primary |
Addresses
Primary practice location
1225 Johnson Ferry Rd Ste 170
Marietta, GA 30068-2727
Mailing address
1225 Johnson Ferry Rd Ste 170
Marietta, GA 30068-2727
Phone (770) 847-0358
Other names 1
- Mrs. Shubha Swamy Varghese
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Sep 3, 2024 through Sep 3, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007700 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novo Psychotherapy, LLC | Current | Accepting new patients |
Locations
1225 Johnson Ferry Rd
Ste 170
Marietta, GA 30068
Phone (404) 822-1026
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.
-
- Community/Behavioral Health Agency
- Marietta, GA
- NPI 1730676776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725321600000",
"number": "1720120058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 JOHNSON FERRY RD STE 170",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300682727",
"telephone_number": "770-847-0358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 JOHNSON FERRY RD STE 170",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300682727",
"telephone_number": "770-847-0358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWAMY",
"first_name": "SHUBHA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2024-09-03",
"certification_date": "2024-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "007700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHUBHA",
"last_name": "VARGHESE",
"middle_name": "SWAMY",
"prefix": "MRS.",
"credential": "LPC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.