Shalanda Teneisha Adams

Key facts

NPI

1982887337

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Counselor 101YM0800X

Practice address

1256 Highway 138 SW
Riverdale, GA 30296-1402

Phone

(770) 994-2223

Fax

(770) 994-2224

NPI assigned

Dec 7, 2007

Sex

Female

Sole proprietor

No

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.

• The Kiya House, Inc. Community/Behavioral Health Agency · Riverdale, GA · NPI 1578756532
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 7, 2007.

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1982887337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1256 HIGHWAY 138 SW",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302961402",
            "telephone_number": "770-994-2223",
            "fax_number": "770-994-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 HIGHWAY 138 SW",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302961402",
            "telephone_number": "770-994-2223",
            "fax_number": "770-994-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "SHALANDA",
        "middle_name": "TENEISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-07",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

• Gena M Abrams-Cardoza, P.T.
• Absolute Health Family & Urgent Care Clinic
• Absolute Healthcare & Rehab Center
• Absolute Personal Care Home
• Christy Jo Morgan Adams
• Sylvia Adams
• Matilda Addo
• Chituru Adele, MD
• Adegboyega Aderibigbe, M.D.
• Christian Boateng Adomako, MBCHB

All providers in Riverdale, GA · Mental Health Counselor in Georgia