Shelby Banach, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1 Huntington Rd Ste 703
Athens, GA 30606-7214

Phone

(706) 425-8900

Fax

(706) 425-8600

NPI assigned

Jun 20, 2019

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

Clinical Social Worker

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Counseling Associates for Well-Being, LLCGroup PAC ID 1850753179, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Counseling Associates for Well-Being LLC

  • Clinical Social Worker
  • Athens, GA
  • NPI 1326599739
  Medicare reassignment Care Compare group NPD
• Headspace Counseling

  • Mental Health Counselor
  • Midvale, UT
  • NPI 1558151894
  NPD
• Mind and Matter Therapy

  • Community/Behavioral Health Agency
  • Midvale, UT
  • NPI 1841809324
  NPD

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1740840883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HUNTINGTON RD STE 703",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067214",
            "telephone_number": "706-425-8900",
            "fax_number": "706-425-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HUNTINGTON RD STE 703",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067214",
            "telephone_number": "706-425-8900",
            "fax_number": "706-425-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 E Fort Union Blvd # 101",
            "address_purpose": "LOCATION",
            "city": "Midvale",
            "state": "UT",
            "postal_code": "840471531",
            "country_code": "US",
            "telephone_number": "801-645-5790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANACH",
        "first_name": "SHELBY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Bakay, LCSW
• Janna Leigh Baker, PA-C
• Matthew B Baker, MD
• Dana Baldwin, LPC
• Bhavna Bali
• Jessica B Bane, CRNA
• Sabina Daxes Banit
• Richard Bank, PSY.D.
• Megan Banks, PHARMD
• Ginger Lynn Banner, OTL

• Clinical Social Worker in Athens, GA
• Providers in Athens, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.