YOUSEF SHAMS (NPI# 1912096520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912096520 |
| Entity Type | Individual |
| Full Name | YOUSEF SHAMS |
| Credential | MS. LPC |
| Practice Address |
1902 Macy Dr Roswell GA 30076-6339 |
| Practice Telephone | 6787950346 |
| Practice Fax Number | 6787959709 |
| Mailing Telephone | 6787950346 |
| Mailing Fax Number | 6787959709 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0909 | GA | Behavioral Health & Social Service Providers |
| X | 101YP2500X |
Counselor Specialization: Professional |
00909 | GA | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | 0909 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | PEACH CARE FOR KIDS | 05 | |
| 0007106410 | AETNA HEALTH CARE | 01 | |
| 513726 | VALUE OPTION | 01 | |
| GA | WELL CARE OF GEORGIA | 05 | |
| GA | PEACHCARE FOR KIDS | 05 | |
| GA | PEACH STATE HEALTH/C | 05 | |
| 52889675 | BLUE CROSS/BLUE SHEI | 01 |
| Street Address |
1902 MACY DR |
| City | ROSWELL |
| State | GA |
| Zip Code | 30076-6339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275005449 | Viviene Verona Smith | Nurse Practitioner | 1902 Macy Dr, Roswell, GA 30076-6339 | 2018-12-27 |
| 1902322902 | Sydney Janai Cunningham | Nurse Practitioner | 1902 Macy Dr, Roswell, GA 30076-6339 | 2017-08-21 |
| 1215463120 | Vera Holloway | Counselor | 1902 Macy Dr, Roswell, GA 30076-6339 | 2017-05-11 |
| 1619306909 | Rebecca Habte | Physician Assistant | 1902 Macy Dr, Roswell, GA 30076-6339 | 2013-11-06 |
| 1104100437 | Russ Sanders | Counselor | 1902 Macy Dr, Roswell, GA 30076-6339 | 2011-10-05 |
| 1083856819 | Josephine Kim Kirkup | Counselor | 1902 Macy Dr, Roswell, GA 30076-6339 | 2009-03-25 |
| 1538285473 | Jill Sherri Polisner-kruljac | Counselor | 1902 Macy Dr, Roswell, GA 30076-6339 | 2007-03-22 |
| 1760539167 | Atlanta Counseling & Evaluation Services, LLC | Clinic/Center | 1902 Macy Dr, Roswell, GA 30076-6339 | 2007-01-05 |
| 1649339961 | Darius Entesary | Counselor | 1902 Macy Dr, Roswell, GA 30076-6339 | 2006-12-06 |
| 1093873812 | Atlanta Behavioral Medicine LLC | Psychiatry & Neurology | 1902 Macy Dr, Atlanta Behavioral Medicine LLC, Roswell, GA 30076-6339 | 2006-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
| 1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
| 1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
| 1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
| 1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
| Find all providers in zip 30076 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497183131 | Ellington Counseling Services, LLC | Counselor | 604 Hermosa Dr, Roswell, NM 88201-6541 | 2013-10-15 |
| 1679911259 | Maria Teresa Fairclough | Counselor | 200 W Hobbs St, Roswell, NM 88203-1868 | 2013-06-05 |
| 1285070318 | Marla Kay Anaya | Counselor | 105 W 3rd St Ste 429, Roswell, NM 88201-4774 | 2013-05-15 |
| 1952659435 | Fatima Granados | Counselor | 72 Gail Harris St, Roswell, NM 88203-8116 | 2012-08-15 |
| 1831325828 | Kimberly Shannon Byrne | Counselor | 400 N Pennsylvania Ave Ste 670b, Roswell, NM 88201-4755 | 2009-06-03 |
| 1497922801 | Stonebraker's, Inc | Counselor | 5110 Old Ellis Pt, Roswell, GA 30076-3863 | 2008-05-14 |
| 1467088013 | Katherine Castillo | Counselor | 1107 S Atkinson Ave, Roswell, NM 88203-7154 | 2020-03-16 |
| 1730728809 | Alexandra Beck | Counselor | 72 Gail Harris St, Roswell, NM 88203-8116 | 2020-01-06 |
| 1861033409 | Angel R Gordo | Counselor | 72 Gail Harris St, Roswell, NM 88203-8116 | 2019-10-04 |
| 1356900559 | Cassonda Anne Stafford | Counselor | 1107 S Atkinson Ave, Roswell, NM 88203-7154 | 2019-06-11 |
| Find all providers in ROSWELL | ||||
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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.