Theresa Michelle Shirey, LPC
Counselor, Professional in Milton, GA. Individual provider (NPI-1).
NPI number1962394932
StatusActive
Last updated in NPPESJul 17, 2025
Details
- NPI
- 1962394932
- Entity type
- Individual (NPI-1)
- Name
- Theresa Michelle Shirey
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 16, 2025
- Certification date
- Jul 17, 2025
- Last updated
- Jul 17, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LPC015594 | GA | Yes |
Practice location
850 Mayfield Rd Ste 203Milton, GA 30009-3012
Phone 470-805-5040
Mailing address
10900 Ne 4th St Ste 901Bellevue, WA 98004-5873
Phone 229-310-7811
Other practice locations
3708 Slade Ave
Albany, GA 31721-8603
Albany, GA 31721-8603
Phone 229-310-7811
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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