Active NPI
Shamika Alford, LPC
- Professional Counselor
- Atlanta, GA
National Provider Identifier
1801347315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC009555
- Practice address
- 2751 Buford Hwy NE Ste 700
Atlanta, GA 30324 - Phone
- (404) 919-5016
- NPI assigned
- Oct 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC009555 | GA | |
| Professional Counselor | 101YP2500X | LPC009555 | GA | Primary |
Addresses
Primary practice location
2751 Buford Hwy NE Ste 700
Atlanta, GA 30324
Mailing address
180 Ritchfield Dr
Powder Springs, GA 30127-6549
Phone (678) 296-7861
Other practice location 1
928 Huntcliff Village Ct
Sandy Springs, GA 30350-7515
Phone (678) 296-7861
Other names 1
- Shamika Taylor
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 |
|---|---|---|---|
| LPC009555 | GA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| In-to-Mate Counseling Services | Current | Accepting new patients | |
| Teladoc Health Medical Group, P.a. | Counselor | Current | Accepting new patients |
Locations
2751 Buford Hwy NE
Ste 700
Atlanta, GA 30324
Phone (404) 948-6975
Interoperability endpoints
- shamikaalford@tdh.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Atlanta, GA
- NPI 1770089153
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Counselor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565654400000",
"number": "1801347315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 RITCHFIELD DR",
"city": "POWDER SPRINGS",
"state": "GA",
"postal_code": "301276549",
"telephone_number": "678-296-7861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2751 BUFORD HWY NE STE 700",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30324",
"telephone_number": "404-919-5016"
}
],
"practiceLocations": [
{
"address_1": "928 Huntcliff Village Ct",
"address_purpose": "LOCATION",
"city": "Sandy Springs",
"state": "GA",
"postal_code": "303507515",
"country_code": "US",
"telephone_number": "678-296-7861",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALFORD",
"first_name": "SHAMIKA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-19",
"last_updated": "2019-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "GA",
"license": "LPC009555",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC009555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHAMIKA",
"last_name": "TAYLOR",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.