Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Shatasha Mitchell , LPC

Counselor - Professional β€’ Perry, GA

Active NPI 1811531106 Individual Practitioner Female Practitioner
Practice location in NPPES

404 N Lake Dr
Perry, GA 310698402

Call 4786620606 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

404 N Lake Dr

Perry, GA 310698402

Telephone 4786620606
Fax 4789880592
Organization at the Same NPPES Address or Phone
Know Your Worth Counseling And Coaching Facility NPI 1275256141

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

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Warner Robins, GA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2019

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; 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.

Guide: How Medicare covers telehealth

Compared with the same specialty in Perry and Georgia

8 active clinicians are listed under Counselor - Professional with a practice address in Perry, GA (6,500 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, 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: 2022-09-24
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES GA LPC013219
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

Secondary Practice Locations

1000 Corporate Pointe Ste 117

Warner Robins, GA 310883440

Phone: 4783964695

Career & Practice History Timeline

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

10 Historical Events
πŸ“
Updated Practice Location September 24, 2022

Registered at 404 N LAKE DR, PERRY, GA 310698402 (Tel: 4786620606)

πŸ“
Updated Business Mailing Address September 24, 2022

Registered at 404 N LAKE DR, PERRY, GA 310698402 (Tel: 4786620606)

πŸ‘€
Provider Name / Credentials Updated September 24, 2022

Recorded as SHATASHA MITCHELL, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2022

Counselor (license number reported to NPPES: GA LPC013219)

βœ…
NPI Profile Active October 30, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 30, 2019

Registered at 1000 CORPORATE POINTE STE 117, WARNER ROBINS, GA 310883440 (Tel: 4783964695)

πŸ“
Business Mailing Address (Initial Record) October 30, 2019

Registered at 1000 CORPORATE POINTE STE 117, WARNER ROBINS, GA 310883440 (Tel: 4783964695)

πŸ‘€
Provider Name / Credentials (Initial Record) October 30, 2019

Recorded as SHATASHA MITCHELL

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2019

Counselor (license number reported to NPPES: GA LAPC006920)

🟒
Initial NPI Registration & Enumeration October 30, 2019

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1811531106
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 30, 2019
Last Update: September 24, 2022
Sole Proprietor: Yes

Mailing Address

404 N Lake Dr

Perry, GA 310698402

Phone: 4786620606

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.