Active NPI
Sheme Thorns
- Mental Health Counselor
- Stone Mountain, GA
National Provider Identifier
1871013227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3746-226
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100073940 | Medicaid | WI |
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 |
|---|---|---|---|
| 899 | GA | MD | Addiction (Substance Use Disorder) Counselor |
| 15871-132 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 3746-226 | WI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Community/Behavioral Health Agency
- Stone Mountain, GA
- NPI 1255838421
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.