Individual provider Active NPI

Shelia J. Key, LPC

  • Mental Health Counselor
  • Peachtree City, GA
National Provider Identifier
1972042091
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCPC009408 Issued in GA
Practice address
111 Petrol PT Ste G
Peachtree City, GA 30269-1573
Phone
(470) 629-5424
Fax
(470) 372-1695
NPI assigned
Feb 22, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPCPC009408 GA
Mental Health Counselor 101YM0800X LPC009408 GA
Mental Health Counselor 101YM0800X LPCPC009408 GA Primary

Addresses

Primary practice location

111 Petrol PT Ste G
Peachtree City, GA 30269-1573

Mailing address

434 Lake Ridge LN
Fairburn, GA 30213-5800
Phone (404) 368-0702

Other practice location 1

157 Burke St Ste 119
Stockbridge, GA 30281-3444
Phone (678) 249-9311

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

LicenseStateTypeSpecialty
LPC009408GAMDMental Health Counselor
LPCPC009408GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration & New Beginnings, LLC Mental Health CurrentSince Sep 20, 2020 Accepting new patients

Locations

111 Petrol Pt
Ste G
Peachtree City, GA 30269
Phone (470) 629-5424

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.

NPI Registry JSON

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1972042091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 LAKE RIDGE LN",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302135800",
            "telephone_number": "404-368-0702",
            "fax_number": "470-372-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PETROL PT STE G",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691573",
            "telephone_number": "470-629-5424",
            "fax_number": "470-372-1695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "157 Burke St Ste 119",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302813444",
            "country_code": "US",
            "telephone_number": "678-249-9311",
            "fax_number": "404-393-7767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEY",
        "first_name": "SHELIA",
        "middle_name": "J.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-22",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPCPC009408",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC009408",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPCPC009408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.