MRS. KRISTEN E. SHOEMAKER MAED, LPC
NPI 1396062295
Counselor - Mental Health in Roswell, GA

Active since May 01, 2010Opted out of Medicare · through Jan 1, 2027
555 SUN VALLEY DR STE L3, ROSWELL, GA 30076(404) 369-8957 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kristen E. Shoemaker Maed, Lpc NPPES

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

MRS. KRISTEN E. SHOEMAKER MAED, LPC (NPI 1396062295) is an individual mental health provider in Roswell, Georgia, licensed in Georgia (012646) and active in the NPI registry since May 2010. She has opted out of Medicare through January 1, 2027.

NPPES Registry Identity

NPI1396062295
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. KRISTEN E. SHOEMAKERCredential: MAED, LPC
Location Address555 SUN VALLEY DR STE L3Roswell, GA 30076-5630
Mailing Address310 Dewpoint LnJohns Creek, GA 30022-7144 · (843) 412-0776
Sole ProprietorYes
Enumeration DateMay 1, 2010
Last NPPES UpdateMay 23, 2025
NPPES CertifiedMay 23, 2025
NPI 1396062295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in GA · 012646 Licensed in SC · 5403
555 SUN VALLEY DR STE L3, Roswell, GA 30076

Other Identifiers 1

Other1124831318GA · Npess

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mrs. Kristen E. Shoemaker Maed, 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 1, 2025 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2025
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Adolescent and Children Mental Health)
555 SUN VALLEY DR STE L3
ROSWELL, GA 30076
Counselor (Mental Health)
555 SUN VALLEY DR STE L3
ROSWELL, GA 30076
Counselor (Mental Health)
555 SUN VALLEY DR STE L3
ROSWELL, GA 30076
Counselor (Mental Health)
555 SUN VALLEY DR STE L3
ROSWELL, GA 30076
Counselor (Mental Health)
555 SUN VALLEY DR STE L3
ROSWELL, GA 30076
Counselor (Professional)
555 SUN VALLEY DR STE L3
ROSWELL, GA 30076
Counselor (Professional)
555 SUN VALLEY DR STE L3
ROSWELL, GA 30076

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 Kristen Shoemaker's NPI number?

The NPI number for Kristen Shoemaker is 1396062295. It was assigned to this individual provider in the NPPES registry on May 1, 2010.

Where is Kristen Shoemaker located?

Kristen Shoemaker practices at 555 Sun Valley Dr Ste L3, Roswell, GA 30076. The listed phone number is (404) 369-8957.

What is Kristen Shoemaker's specialty?

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

Is Kristen Shoemaker enrolled in Medicare?

No. Kristen Shoemaker has opted out of Medicare through January 1, 2027. 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 Kristen Shoemaker was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.