Individual provider Active NPI

Shana L Stokes, LPC

  • Professional Counselor
  • Fort Oglethorpe, GA
National Provider Identifier
1912373309
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC014661 Issued in GA
Practice address
1875 Fant Dr
Fort Oglethorpe, GA 30742-3300
Phone
(706) 861-3387
Fax
(888) 861-8732
NPI assigned
Aug 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC014661 GA Primary

Addresses

Primary practice location

1875 Fant Dr
Fort Oglethorpe, GA 30742-3300

Mailing address

501 Mize St
La Fayette, GA 30728-3346
Phone (706) 638-5591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240508001218 GA Practitioner - Mental Health Counselor 6204277296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lookout Mountain Community ServicesGroup PAC ID 4880682822, 18 clinicians

Practice addresses (Care Compare)

1875 Fant Dr
Ft Oglethorpe, GA 30742-3300
Phone (706) 861-3387

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC014661GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lookout Mountain Community Services Current Accepting new patients
Lookout Mountain Community Services CurrentSince Apr 16, 2024 Accepting new patients
Lookout Mountain Community Services CurrentSince Apr 16, 2024 Accepting new patients

Locations

1875 Fant Dr
Ft Oglethorpe, GA 30742
Phone (706) 861-3387

501 Mize St
La Fayette, GA 30728
Phone (706) 638-5584

Organizations & group practices 3

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": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1912373309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MIZE ST",
            "city": "LA FAYETTE",
            "state": "GA",
            "postal_code": "307283346",
            "telephone_number": "706-638-5591",
            "fax_number": "706-639-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 FANT DR",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "307423300",
            "telephone_number": "706-861-3387",
            "fax_number": "888-861-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKES",
        "first_name": "SHANA",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC014661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Oglethorpe, GA

Sources for this page

Verify at the official NPI Registry.