Organization Active NPI

Dr Shawn the LPC

  • Professional Counselor
  • Lawrenceville, GA
National Provider Identifier
1972378313
Registry record updated May 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
DR SHAWN THE LPC
Doing business as
Dr. Shawn, THE LPC & Associates
Practice address
105 Chandler Ridge LN
Lawrenceville, GA 30045-6524
Phone
(334) 384-3331
Fax
(800) 554-2503
NPI assigned
Nov 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2026

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

Authorized official

Name
Richarne Fuqua, LPCNPI 1194015719
Title
Owner/Operator
Phone
(800) 554-0000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

105 Chandler Ridge LN
Lawrenceville, GA 30045-6524

Mailing address

930 New Hope Rd Ste 11-652
Lawrenceville, GA 30045-6407
Phone (313) 492-0000

Other practice location 1

29556 Southfield Rd Ste 200
Southfield, MI 48076-2021
Phone (800) 554-2503 ext. 2

Other names 1

  • Dr. Shawn, THE LPC & Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251205000629 GA Part B Supplier - Clinic/Group Practice 3476046632 Receives reassigned benefits from 1 practitioner
Practice locations: Lawrenceville, GA

National Provider Directory

National Provider Directory

Locations

930 New Hope Rd
Ste 11652
Lawrenceville, GA 30045
Phone (800) 554-2503

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778889600000",
    "number": "1972378313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 NEW HOPE RD STE 11-652",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300456407",
            "telephone_number": "313-492-0000",
            "fax_number": "800-554-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CHANDLER RIDGE LN",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300456524",
            "telephone_number": "334-384-3331",
            "fax_number": "800-554-2503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29556 Southfield Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480762021",
            "country_code": "US",
            "telephone_number": "800-554-2503 x2",
            "fax_number": "800-554-2503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR SHAWN THE LPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-15",
        "last_updated": "2026-05-16",
        "certification_date": "2026-05-16",
        "status": "A",
        "authorized_official_last_name": "FUQUA",
        "authorized_official_first_name": "RICHARNE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "800-554-0000",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Shawn, THE LPC & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.