Active NPI
Shana L Stokes, LPC
- Professional Counselor
- Fort Oglethorpe, GA
National Provider Identifier
1912373309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC014661
- 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
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 | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC014661 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lookout Mountain Community Services | Current | Accepting new patients | |
| Lookout Mountain Community Services | Current | Accepting new patients | |
| Lookout Mountain Community Services | Current | 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.
-
- Community/Behavioral Health Agency
- Lafayette, GA
- NPI 1790782431
-
- Community/Behavioral Health Agency
- Lafayette, GA
- NPI 1386716124
-
- Community/Behavioral Health Agency
- Ft Oglethorpe, GA
- NPI 1568599090
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.