Jacqueline Shaffer

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

JACQUELINE SHAFFER

Practice address

485 Huntington Rd Ste 197
Athens, GA 30606-1845

Phone

(706) 363-3352

NPI assigned

Dec 11, 2018

Organization subpart

No

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

Authorized official

Name

Jacqueline Shaffer, LPC

Title

Owner

Phone

(706) 363-3352

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544486400000",
    "number": "1912478371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 HUNTINGTON RD STE 197",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306061845",
            "telephone_number": "706-363-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 HUNTINGTON RD STE 197",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306061845",
            "telephone_number": "706-363-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE SHAFFER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-11",
        "last_updated": "2018-12-11",
        "status": "A",
        "authorized_official_last_name": "SHAFFER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-363-3352",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lois L Jackson, SLP
• Sarah Jackson
• Sarah Ellie Jackson, PSY.D.
• Sharon Jackson, CRNA
• Matthew Jacobson, PT, DPT, ATC
• Amit Kumar Jain
• Bogdan Cristian Jaliu, MD
• Ummar S Jamal, DO
• James a Parker MD PC
• James D. Dillard, OD, PC

• Professional Counselor in Athens, GA
• Providers in Athens, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.

Verify at the official NPI Registry.