SHAINA GORDON (NPI# 1003296062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003296062 |
| Entity Type | Individual |
| Full Name | SHAINA GORDON |
| Practice Address |
465 Winn Way 221 Decatur GA 30030-1753 |
| Mailing Address |
980 Saint Charles Ave Ne #3 Atlanta GA 30306-4263 |
| Practice Telephone | 4042923810 |
| Mailing Telephone | 9548951453 |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2017-02-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CSW005234 | GA | Behavioral Health & Social Service Providers |
| Street Address |
465 WINN WAY 221 |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-1753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093707325 | Gayle Leff Goldstein | Ophthalmology | 465 Winn Way, Ste 140, Decatur, GA 30030-1753 | 2005-08-23 |
| 1184230237 | Miracle Penny | Behavior Technician | 465 Winn Way, Decatur, GA 30030-1753 | 2020-09-23 |
| 1447874862 | Nicholas Okeith Rocker | Behavior Technician | 465 Winn Way, Decatur, GA 30030-1753 | 2020-06-01 |
| 1811349640 | Advanced Counseling Services | Counselor | 465 Winn Way, Suite 150, Decatur, GA 30030-1753 | 2016-07-05 |
| 1386929073 | Robin May | Counselor | 465 Winn Way, Suite 221, Decatur, GA 30030-1753 | 2011-10-13 |
| 1013200070 | Anna Christina Davis | Counselor | 465 Winn Way, Suite 221, Decatur, GA 30030-1753 | 2011-05-24 |
| 1497052963 | South Central Community and Social Services LLC | Community/Behavioral Health | 465 Winn Way, Suite 150, Decatur, GA 30030-1753 | 2011-02-18 |
| 1164751012 | Michael B Stubbs Md PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 465 Winn Way, Suite 211, Decatur, GA 30030-1753 | 2009-12-23 |
| 1083858716 | Susan Laney Castle | Nurse Practitioner | 465 Winn Way, Suite 215, Decatur, GA 30030-1753 | 2009-04-24 |
| 1861662892 | Jkp Balance & Hearing Center, LLC | Audiologist | 465 Winn Way, Suite 231, Decatur, GA 30030-1753 | 2008-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
| Find all providers in zip 30030 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043824014 | Magee Madry Counseling Services, LLC | Counselor | 2719 Apsley Way Sw, Decatur, AL 35603-3367 | 2020-09-07 |
| 1174141154 | Strong Counseling and Consulting | Counselor | 2107 N Decatur Rd Ste 711, Decatur, GA 30033-5305 | 2020-07-07 |
| 1982221917 | Jasmine Mcghee | Counselor | 2095 Manhattan Pkwy, Decatur, GA 30035-2252 | 2020-06-25 |
| 1851925218 | Nikkita Nelson | Counselor | 315 W Ponce De Leon Ave Ste 300, Decatur, GA 30030-2481 | 2020-02-25 |
| 1205476652 | Ameta Deborah Jasper | Counselor | 125 Clairemont Ave Ste 300, Decatur, GA 30030-2551 | 2020-01-14 |
| 1588208979 | Amanda Nesbitt | Counselor | 173 Pine Tree Cir, Decatur, GA 30032-1145 | 2019-10-29 |
| 1295386423 | Brentia J Caldwell | Counselor | 3205 River Shoals Cv, Decatur, GA 30034-6778 | 2019-09-29 |
| 1861044703 | Latasha Heinzen | Counselor | 2042 Beltline Rd Suite 120a, Decatur, AL 35602 | 2019-07-11 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1386107811 | Chardonnay Patterson | Counselor | 3629 Occidental Ct, Decatur, GA 30034-5502 | 2019-04-11 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.