Individual provider Active NPI

Seymour Shaye, M.A.

  • Mental Health Counselor
  • Atlanta, GA
National Provider Identifier
1871635417
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1204 Issued in GA
Practice address
1506 Kay LN NE
Atlanta, GA 30306-2108
Phone
(678) 595-6116
Fax
(404) 891-3749
NPI assigned
Feb 12, 2007
Last updated
Apr 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 1204 GA
Marriage & Family Therapist 106H00000X 567 GA
Mental Health Counselor 101YM0800X 1204 GA Primary

Addresses

Primary practice location

1506 Kay LN NE
Atlanta, GA 30306-2108

Mailing address

1506 Kay LN NE
Atlanta, GA 30306-2108
Phone (678) 595-6116

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
567GAMDMarriage & Family Therapist
1204GAMDFoot & Ankle Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1871635417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 KAY LN NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303062108",
            "telephone_number": "678-595-6116",
            "fax_number": "404-891-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 KAY LN NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303062108",
            "telephone_number": "678-595-6116",
            "fax_number": "404-891-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAYE",
        "first_name": "SEYMOUR",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2024-04-18",
        "certification_date": "2024-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "1204",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "567",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 18, 2024; 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.