Individual provider Active NPI

Shevlene Walker Burch, MS, LAPC, NCC

  • Professional Counselor
  • McDonough, GA
National Provider Identifier
1982141156
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
APC004669 Issued in GA
Practice address
112 Windward HLS
McDonough, GA 30253-5991
Phone
(404) 277-8316
NPI assigned
Jan 26, 2017
Sex
Female
Sole proprietor
Yes

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
APC004669GAMDMental Health Counselor

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X APC004669 GA
Mental Health Counselor 101YM0800X APC004669 GA
Professional Counselor 101YP2500X APC004669 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

112 Windward HLS
McDonough, GA 30253-5991

Mailing address

112 Windward HLS
McDonough, GA 30253-5991
Phone (404) 277-8316

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 26, 2017.

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1982141156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 WINDWARD HLS",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302535991",
            "telephone_number": "404-277-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 WINDWARD HLS",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302535991",
            "telephone_number": "404-277-8316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCH",
        "first_name": "SHEVLENE",
        "middle_name": "WALKER",
        "name_prefix": "Mrs.",
        "credential": "MS, LAPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "APC004669",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC004669",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC004669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.