Shanda Marie Mobley-Taylor, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

009578 Issued in GA

Practice address

5805 Highway 21 S Ste 18-19
Rincon, GA 31326-5511

Phone

(912) 667-8806

NPI assigned

May 17, 2017

Sex

Female

Sole proprietor

Yes

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

Locations

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.

• Inspired Vision Counseling LLC

  • Mental Health Counselor
  • Rincon, GA
  • NPI 1356071765
  NPD Authorized official
• Heritage Counseling, Inc

  • Professional Counselor
  • Rincon, GA
  • NPI 1821375593
  NPD
• Heritage Counseling

  • Professional Counselor
  • Rincon, GA
  • NPI 1275890642
  NPD (past)

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1730616004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 AUTUMN DR",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265675",
            "telephone_number": "912-667-8806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 HIGHWAY 21 S STE 18-19",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265511",
            "telephone_number": "912-667-8806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1009 N Columbia Ave",
            "address_purpose": "LOCATION",
            "city": "Rincon",
            "state": "GA",
            "postal_code": "313266828",
            "country_code": "US",
            "telephone_number": "912-657-9613",
            "fax_number": "912-826-0233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOBLEY-TAYLOR",
        "first_name": "SHANDA",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-17",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "009578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica R Miller
• Tiffanie Miller
• Tiana Milton
• Christopher Lawrence Miner
• Michele Kathleen Miranda
• Melanie Mooney, M.D.
• David Keith Moore, M.D.
• Kristen Moore
• Jennifer Leigh Morris, PHARMD
• Natalie Jenkins Morris

• Professional Counselor in Rincon, GA
• Providers in Rincon, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.