Active NPI
Shanard Clemons, LPC
- Mental Health Counselor
- Decatur, GA
National Provider Identifier
1760374656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 98903
- Practice address
- 2892 Saratoga Lake VW
Decatur, GA 30034-6500 - Phone
- (404) 281-3111
- NPI assigned
- Jul 16, 2025
- Sex
- Male
- Sole proprietor
- No
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 | 98903 | TX | Primary |
Addresses
Primary practice location
2892 Saratoga Lake VW
Decatur, GA 30034-6500
Mailing address
2892 Saratoga Lake VW
Decatur, GA 30034-6500
Phone (404) 281-3111
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 98903 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Health TX, P.a. | Past | Accepting new patients |
Interoperability endpoints
- shanard.clemons@489656322949124.direct.elationemr.com
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.
-
- Clinical Psychologist
- New York, NY
- NPI 1982476685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1760374656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2892 SARATOGA LAKE VW",
"city": "DECATUR",
"state": "GA",
"postal_code": "300346500",
"telephone_number": "404-281-3111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2892 SARATOGA LAKE VW",
"city": "DECATUR",
"state": "GA",
"postal_code": "300346500",
"telephone_number": "404-281-3111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMONS",
"first_name": "SHANARD",
"name_prefix": "Dr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-07-16",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "98903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.