Active NPI
Shane D Tratechaud, LPC
- Professional Counselor
- Savannah, GA
National Provider Identifier
1881941987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC009280
- Practice address
- 6711 Forest Park Dr Ste E
Savannah, GA 31406-2507 - Phone
- (912) 602-0901
- NPI assigned
- Aug 7, 2012
- Sex
- Male
- 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 | LPC009280 | GA | Primary |
Addresses
Primary practice location
6711 Forest Park Dr Ste E
Savannah, GA 31406-2507
Mailing address
6 Wilton Lane
Savannah, GA 31410
Phone (912) 220-4247
Other practice location 1
107 Cedar St
Suite 7
Monticello, MN 55362-4504
Phone (763) 732-3351
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 |
|---|---|---|---|
| LPC009280 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Solutions Counseling, LLC | Current | Accepting new patients |
Locations
6711 Forest Park Dr
Ste E
Savannah, GA 31406
Phone (912) 602-0901
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
- Savannah, GA
- NPI 1497210991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1881941987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 WILTON LANE",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "31410",
"telephone_number": "912-220-4247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6711 FOREST PARK DR STE E",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314062507",
"telephone_number": "912-602-0901"
}
],
"practiceLocations": [
{
"address_1": "107 Cedar St",
"address_2": "Suite 7",
"address_purpose": "LOCATION",
"city": "Monticello",
"state": "MN",
"postal_code": "553624504",
"country_code": "US",
"telephone_number": "763-732-3351",
"fax_number": "763-322-5026",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRATECHAUD",
"first_name": "SHANE",
"middle_name": "D",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-07",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC009280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
- Peyton Russell Trancygier, MD
- Tranquility Telepsychiatry LLC
- Tranquility Women'S Health, Wellness and Empowerment Center
- Transfigurations, LLC
- Transformed to Your Fuller Life Inc.
- Trauma Drama Therapy, LLC
- Cathy Traynor, LPC
- Treasured Thoughts Wellness, LLC
- Kathleen A Tremblay, APRN, FNP-BC
- Tremont Physical Therapy Practice
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.