Individual provider Active NPI

Sherri Jaye Burruss, LPC

  • Professional Counselor
  • Suwanee, GA
National Provider Identifier
1770104226
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC011342 Issued in GA
Practice address
5400 Laurel Springs Pkwy Ste 802
Suwanee, GA 30024-6096
Phone
(404) 808-1161
NPI assigned
May 6, 2020
Last updated
Jun 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC011342 GA Primary

Addresses

Primary practice location

5400 Laurel Springs Pkwy Ste 802
Suwanee, GA 30024-6096

Mailing address

7430 Fields Dr
Cumming, GA 30041-8113

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250724002420 GA Practitioner - Mental Health Counselor 8527575653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

Practice addresses (Care Compare)

5965 Pkwy N Blvd
Suite a
Cumming, GA 30040-1431
Phone (770) 886-5700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fresh Start for the Mind, LLC CurrentSince May 10, 2020 Accepting new patients
Personal Recovery Network LLC Professional CurrentSince Jul 28, 2025 Accepting new patients
100 Percent Nutrition LLC PastSince May 10, 2020 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

5965 Parkway North Blvd
Ste A
Cumming, GA 30040
Phone (470) 239-4846

5965 Parkway North Blvd
Ste C
Cumming, GA 30040
Phone (770) 475-8014

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

5400 Laurel Springs Pkwy
Ste 802
Suwanee, GA 30024
Phone (404) 808-1161

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1770104226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7430 FIELDS DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300418113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 LAUREL SPRINGS PKWY STE 802",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246096",
            "telephone_number": "404-808-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRUSS",
        "first_name": "SHERRI",
        "middle_name": "JAYE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-06",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC011342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.