Active NPI
Shelia J. Key, LPC
- Mental Health Counselor
- Peachtree City, GA
National Provider Identifier
1972042091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPCPC009408
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC009408 | GA | MD | Mental Health Counselor |
| LPCPC009408 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restoration & New Beginnings, LLC | Mental Health | Current | 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.
-
- Mental Health Counselor
- Peachtree City, GA
- NPI 1982119681
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.