Active NPI 1811531106 Individual Practitioner Female Practitioner

Shatasha Mitchell , LPC

Counselor - Professional • Perry, GA

Professional Overview & Biography Verified Profile Summary

Shatasha Mitchell, LPC is a registered healthcare professional specializing in Counselor - Professional in Perry, GA. Practice services are available at 404 N LAKE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

404 N Lake Dr

Perry, GA 310698402

Telephone 4786620606

Fax 4789880592

Associated Practice Facility / Clinic

🏢 Know Your Worth Counseling And Coaching Facility NPI 1275256141

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Perry, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 15.6 Yrs

Regional Practice Density

9 Specialists

Practicing in Perry, GA (6655 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-09-24

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License GA LPC013219

Definition to come...

Secondary Practice Locations

1000 Corporate Pointe Ste 117

Warner Robins, GA 310883440

Phone: 4783964695

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Practice Location September 24, 2022

Registered at 404 N LAKE DR, PERRY, GA 310698402 (Tel: 4786620606)

📍

Updated Business Mailing Address September 24, 2022

Registered at 404 N LAKE DR, PERRY, GA 310698402 (Tel: 4786620606)

👤

Provider Name / Credentials Updated September 24, 2022

Recorded as SHATASHA MITCHELL, LPC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2022

Counselor (License #LPC013219 in GA)

✅

NPI Profile Active October 30, 2019

NPI status registered as active in NPPES database

📍

Updated Practice Location October 30, 2019

Registered at 1000 CORPORATE POINTE STE 117, WARNER ROBINS, GA 310883440 (Tel: 4783964695)

📍

Updated Business Mailing Address October 30, 2019

Registered at 1000 CORPORATE POINTE STE 117, WARNER ROBINS, GA 310883440 (Tel: 4783964695)

👤

Provider Name / Credentials Updated October 30, 2019

Recorded as SHATASHA MITCHELL

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2019

Counselor (License #LAPC006920 in GA)

🟢

Initial NPI Registration & Enumeration October 30, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811531106

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 30, 2019

Last Update: September 24, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

404 N Lake Dr

Perry, GA 310698402

Phone: 4786620606

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.