Active NPI
Shelby Ann Lynn Leverett, LPC, NCC
- Professional Counselor
- Watkinsville, GA
National Provider Identifier
1841969714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC014477
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| APC007787 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personal Recovery Network LLC | Professional | Current | 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.