Individual provider Active NPI

Shelby Ann Lynn Leverett, LPC, NCC

  • Professional Counselor
  • Watkinsville, GA
National Provider Identifier
1841969714
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC014477 Issued in GA
Practice address
1551 Jennings Mill Rd Unit 2200a
Watkinsville, GA 30677-7270
Phone
(706) 813-3480
NPI assigned
Sep 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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 LPC014477 GA Primary

Addresses

Primary practice location

1551 Jennings Mill Rd Unit 2200a
Watkinsville, GA 30677-7270

Mailing address

1551 Jennings Mill Rd Unit 2200a
Watkinsville, GA 30677-7270
Phone (706) 813-3480

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

LicenseStateTypeSpecialty
APC007787GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Recovery Network LLC Professional CurrentSince Aug 1, 2021 Accepting new patients

Locations

1060 Gaines School Rd
Ste B3
Athens, GA 30605
Phone (706) 424-0878

1838 Old Norcross Rd
Ste 400
Lawrenceville, GA 30044
Phone (470) 795-7695

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.

NPI Registry JSON

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1841969714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 JENNINGS MILL RD UNIT 2200A",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777270",
            "telephone_number": "706-813-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 JENNINGS MILL RD UNIT 2200A",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777270",
            "telephone_number": "706-813-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVERETT",
        "first_name": "SHELBY",
        "middle_name": "ANN LYNN",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC014477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.