Shana Styles Trimble, LMFT

Primary specialty

CounselorTaxonomy code 101Y00000X

License

MFT001743 Issued in GA

Practice address

3568 Habersham at Northlake
BLDG K
Tucker, GA 30084-3008

Phone

(678) 585-2300

Fax

(678) 689-0955

NPI assigned

Jan 7, 2020

Sex

Female

Sole proprietor

No

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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• N'Perfect Balance, Inc

  • Marriage & Family Therapist
  • Tucker, GA
  • NPI 1275299828
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1730729807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6287 AUSTIN PARK",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300586447",
            "telephone_number": "770-722-6473",
            "fax_number": "678-689-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3568 HABERSHAM AT NORTHLAKE",
            "address_2": "BLDG K",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300843008",
            "telephone_number": "678-585-2300",
            "fax_number": "678-689-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIMBLE",
        "first_name": "SHANA",
        "middle_name": "STYLES",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "MFT001743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracys Medicine Center
• Tracys Medicine Center
• Tracys Wellness Clinic
• Trading Faces LLC
• Mathew Tran, PHARMD
• Birtukan Tsegaye
• Hamrawit Tsegaye, CMT
• Tucker Chiropractic
• Tucker Chiropractic Associates Incorporated
• Tucker Family Practice, L.L.C.

• Counselor in Tucker, GA
• Providers in Tucker, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.