Active NPI
Yousef Shams, MS. LPC
- Marriage & Family Therapist
- Roswell, GA
National Provider Identifier
1912096520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 0909
- Practice address
- 1902 Macy Dr
Roswell, GA 30076-6339 - Phone
- (678) 795-0346
- Fax
- (678) 795-9709
- NPI assigned
- Oct 12, 2006
- Last updated
- Sep 11, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0909 | GA | |
| Professional Counselor | 101YP2500X | 00909 | GA | |
| Marriage & Family Therapist | 106H00000X | 0909 | GA | Primary |
Addresses
Primary practice location
1902 Macy Dr
Roswell, GA 30076-6339
Mailing address
1902 Macy Dr
Roswell, GA 30076-6339
Phone (678) 795-0346
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WELL CARE OF GEORGIA | Medicaid | GA | |
| AETNA HEALTH CARE | Other | 0007106410 | |
| VALUE OPTION | Other | 513726 | |
| PEACHCARE FOR KIDS | Medicaid | GA | |
| BLUE CROSS/BLUE SHEI | Other | 52889675 | |
| PEACH STATE HEALTH/C | Medicaid | GA | |
| PEACH CARE FOR KIDS | Medicaid | GA |
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 |
|---|---|---|---|
| 0909 | GA | MD | Addiction (Substance Use Disorder) Counselor |
| 00909 | GA | MD | Professional Counselor |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Roswell, GA
- NPI 1760539167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1912096520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1902 MACY DR",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300766339",
"telephone_number": "678-795-0346",
"fax_number": "678-795-9709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1902 MACY DR",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300766339",
"telephone_number": "678-795-0346",
"fax_number": "678-795-9709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAMS",
"first_name": "YOUSEF",
"credential": "MS. LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "GA",
"license": "0909",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "00909",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "0909",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "WELL CARE OF GEORGIA",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "0007106410",
"identifier": "AETNA HEALTH CARE",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "513726",
"identifier": "VALUE OPTION",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PEACHCARE FOR KIDS",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "52889675",
"identifier": "BLUE CROSS/BLUE SHEI",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PEACH STATE HEALTH/C",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PEACH CARE FOR KIDS",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.