SHONDALEA M JENSEN LAPC
NPI 1154691087
Counselor in Carrollton, GA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

Active since January 10, 2012PECOS Enrolled

153 INDEPENDENCE DR, CARROLLTON, GA 30116(770) 836-6678(770) 830-2266 Get Directions Write a Review

NPPES record last updated: January 10, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Shondalea M Jensen Lapc NPPES

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

SHONDALEA M JENSEN LAPC (NPI 1154691087) is an individual counselor in Carrollton, Georgia, licensed in Georgia (APC002685) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154691087

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameSHONDALEA M JENSENCredential: LAPC

Location Address153 INDEPENDENCE DRCarrollton, GA 30116-9000

Mailing Address153 Independence DrCarrollton, GA 30116-9000 · (770) 836-6678 · Fax (770) 830-2266

Phone(770) 836-6678

Fax(770) 830-2266

Sole ProprietorNo

Enumeration DateJanuary 10, 2012

✔ NPI 1154691087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in GA · APC002685

Definition

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.

153 INDEPENDENCE DR, Carrollton, GA 30116

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shondalea M Jensen Lapc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.