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Shanda Marie Mobley-Taylor , LPC

Counselor - Professional β€’ Rincon, GA

Active NPI 1730616004 Individual Practitioner Female Practitioner
Practice location in NPPES

5805 Highway 21 S Ste 18-19
Rincon, GA 313265511

Call 9126678806 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

5805 Highway 21 S Ste 18-19

Rincon, GA 313265511

Telephone 9126678806
Organization at the Same NPPES Address or Phone
Inspired Vision Counseling Llc Facility NPI 1356071765

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 Rincon, 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

2017

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

Compared with the same specialty in Rincon and Georgia

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Rincon

0% of these 21 clinicians have the CMS telehealth indicator.

0% of these 21 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: 2022-05-04
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES GA 009578
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

1009 N Columbia Ave

Rincon, GA 313266828

Phone: 9126579613

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Practice Location May 04, 2022

Registered at 5805 HIGHWAY 21 S STE 18-19, RINCON, GA 313265511 (Tel: 9126678806)

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Secondary Practice Location Registered May 04, 2022

Additional practice office at 1009 N Columbia Ave, Rincon, GA 313266828

πŸ“
Updated Practice Location April 24, 2020

Registered at 1009 N COLUMBIA AVE, RINCON, GA 313266828 (Tel: 9126579613)

βœ…
NPI Profile Active May 17, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 17, 2017

Registered at 100 AUTUMN DR, RINCON, GA 313265675 (Tel: (912) 667-8806)

πŸ“
Business Mailing Address (Initial Record) May 17, 2017

Registered at 100 AUTUMN DR, RINCON, GA 313265675 (Tel: 9126678806)

πŸ‘€
Provider Name / Credentials (Initial Record) May 17, 2017

Recorded as SHANDA MOBLEY-TAYLOR, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2017

Counselor (license number reported to NPPES: GA 009578)

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Initial NPI Registration & Enumeration May 17, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1730616004
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2017
Last Update: May 04, 2022
Sole Proprietor: Yes

Mailing Address

100 Autumn Dr

Rincon, GA 313265675

Phone: 9126678806

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.