Individual provider Active NPI

Sheme Thorns

  • Mental Health Counselor
  • Stone Mountain, GA
National Provider Identifier
1871013227
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3746-226 Issued in WI
Practice address
5345 Cumberland Way
Stone Mountain, GA 30087-4212
Phone
(678) 698-5306
NPI assigned
Jun 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15871-132 WI
Addiction (Substance Use Disorder) Counselor 101YA0400X 899 GA
Specialist 174400000X
Mental Health Occupational Therapist 225XM0800X
Mental Health Counselor 101YM0800X 3746-226 WI Primary

Addresses

Primary practice location

5345 Cumberland Way
Stone Mountain, GA 30087-4212

Mailing address

8428 N 106TH St
Milwaukee, WI 53224-2302
Phone (414) 313-4346

Other practice location 1

4273 N Teutonia Ave
Milwaukee, WI 53209-6748
Phone (414) 313-4346

Other identifiers 1

IdentifierTypeStateIssuer
100073940MedicaidWI

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
899GAMDAddiction (Substance Use Disorder) Counselor
15871-132WIMDAddiction (Substance Use Disorder) Counselor
3746-226WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Children First Quality Service Current Accepting new patients

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": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1871013227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8428 N 106TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532242302",
            "telephone_number": "14143134346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5345 CUMBERLAND WAY",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300874212",
            "telephone_number": "678-698-5306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4273 N Teutonia Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532096748",
            "country_code": "US",
            "telephone_number": "414-313-4346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORNS",
        "first_name": "SHEME",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15871-132",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "899",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "3746-226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100073940",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; 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.