DR. JESSICA MIRANDA SHINE
NPI 1922725571
Counselor - Professional in Augusta, GA

Q: What is Jessica Shine's NPI number?

The NPI number for Jessica Shine is 1922725571. It was assigned to this individual provider in the NPPES registry on October 25, 2022.

Q: What is Jessica Shine's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Shine was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 25, 2022

2967 CLARKSTON RD, AUGUSTA, GA 30909(470) 645-1541(706) 685-1218 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 11, 2023, Oct 25, 2022 (2 updates tracked since 2022).

On this page

About Dr. Jessica Miranda Shine NPPES

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

DR. JESSICA MIRANDA SHINE (NPI 1922725571) is an individual professional provider in Augusta, Georgia, licensed in Georgia (LPC014201) and active in the NPI registry since October 2022. She maintains a secondary practice location in Marietta.

NPPES Registry Identity

NPI1922725571

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameDR. JESSICA MIRANDA SHINE

Location Address2967 CLARKSTON RDAugusta, GA 30909-9221

Mailing Address2967 Clarkston RdAugusta, GA 30909-9221

Phone(470) 645-1541

Fax(706) 685-1218

Sole ProprietorNo

Enumeration DateOctober 25, 2022

Last NPPES UpdateOctober 11, 20232 updates tracked since enumeration

NPPES CertifiedOctober 11, 2023

✔ NPI 1922725571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in GA · LPC014201✔ Licensed in GA · APC008605

2967 CLARKSTON RD, Augusta, GA 30909

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Secondary Practice Location 1

Location 11343 Terrell Mill Rd SE Ste 228Marietta, GA 30067-9472 · Phone (770) 635-8505

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

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

HEALING AND HEALTHY COUNSELING LLC

Counselor (Mental Health)

2967 CLARKSTON RD
AUGUSTA, GA 30909

Richmond County (470) 645-1541

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 Jessica Shine's NPI number?

The NPI number for Jessica Shine is 1922725571. It was assigned to this individual provider in the NPPES registry on October 25, 2022.

Where is Jessica Shine located?

Jessica Shine practices at 2967 Clarkston Rd, Augusta, GA 30909. The listed phone number is (470) 645-1541.

What is Jessica Shine's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Jessica Shine accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Jessica Shine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Shine was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.