Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Austin Thomas Shively , LAPC

Counselor - Professional β€’ Augusta, GA

Active NPI 1083287742 Individual Practitioner Male Practitioner
Practice location in NPPES

3633 Wheeler Rd Ste 365
Augusta, GA 309096549

Call 7064326866 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3633 Wheeler Rd Ste 365

Augusta, GA 309096549

Telephone 7064326866
Fax 7064328775
Organization at the Same NPPES Address or Phone
Resolution Counseling Professionals Facility NPI 1700298270

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Austin Shively has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Austin Shively as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Augusta and Georgia

193 active clinicians are listed under Counselor - Professional with a practice address in Augusta, GA (6,613 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Augusta

1.6% of these 193 clinicians have the CMS telehealth indicator.

9.8% of these 193 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-09-26
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES GA APC008650
Counselor

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20250818003870

Enrollment State Jurisdiction

GA

PECOS Control ID

6406355338

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

8 listed
Brian Adams , LCSW

Social Worker - Clinical

NPI 1043591183

Licensed Clinical Social Worker

Janese Brown , LCSW

Social Worker - Clinical

NPI 1083370480

Licensed Clinical Social Worker

Dr. Lelan Byrd , MD

Psychiatry & Neurology - Psychiatry

NPI 1558510453

Doctor of Medicine (M.D.)

Kathy Dexter , PA-C

Physician Assistant

NPI 1205086055

Physician Assistant (Certified)

Andrea Jackson , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1578232443

Psychiatric-Mental Health Nurse Practitioner

Dr. Donna Londino , MD

Psychiatry & Neurology - Psychiatry

NPI 1447369632

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ‘€
Provider Name / Credentials Updated September 26, 2022

Recorded as AUSTIN SHIVELY, LAPC

βœ…
NPI Profile Active July 21, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 21, 2021

Registered at 3633 WHEELER RD STE 365, AUGUSTA, GA 309096549 (Tel: 7064326866)

πŸ“
Business Mailing Address (Initial Record) July 21, 2021

Registered at 3633 WHEELER RD STE 365, AUGUSTA, GA 309096549 (Tel: 7064326866)

πŸ‘€
Provider Name / Credentials (Initial Record) July 21, 2021

Recorded as AUSTIN SHIVELY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2021

Counselor

🟒
Initial NPI Registration & Enumeration July 21, 2021

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1083287742
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 21, 2021
Last Update: September 26, 2022
Sole Proprietor: Yes

Other Counselor - Professionals in Augusta

Healthcare providers in Augusta

Mailing Address

3633 Wheeler Rd Ste 365

Augusta, GA 309096549

Phone: 7064326866

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.