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SHANNON SHELTON LPC
NPI 1114606506
Counselor - Mental Health in Atlanta, GA

Active since July 13, 2023Opted out of Medicare · through Jan 31, 2028
1802 MCLENDON AVE NE, ATLANTA, GA 30307(404) 500-9484 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Shannon Shelton Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON SHELTON LPC (NPI 1114606506) is an individual mental health provider in Atlanta, Georgia, licensed in Georgia (LPC013820) and active in the NPI registry since July 2023. She has opted out of Medicare through January 31, 2028.

NPPES Registry Identity

NPI1114606506
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANNON SHELTONCredential: LPC
Location Address1802 MCLENDON AVE NEAtlanta, GA 30307-1758
Mailing Address1802 Mclendon Ave NeAtlanta, GA 30307-1758 · (404) 500-9484
Phone(404) 500-9484
Sole ProprietorNo
Enumeration DateJuly 13, 2023
NPPES CertifiedJuly 13, 2023
✔ NPI 1114606506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in GA · LPC013820
1802 MCLENDON AVE NE, Atlanta, GA 30307
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Shannon Shelton Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 31, 2024 through January 31, 2028.

Opt-Out Effective DateJanuary 31, 2024
Opt-Out In Effect ThroughJanuary 31, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Shelton's NPI number?

The NPI number for Shannon Shelton is 1114606506. It was assigned to this individual provider in the NPPES registry on July 13, 2023.

Where is Shannon Shelton located?

Shannon Shelton practices at 1802 Mclendon Ave NE, Atlanta, GA 30307. The listed phone number is (404) 500-9484.

What is Shannon Shelton's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Shannon Shelton enrolled in Medicare?

No. Shannon Shelton has opted out of Medicare through January 31, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Shannon Shelton was last updated on July 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.