P Praxis·MD
● Active Type 1 · Individual

DR. Jessica Miranda Shine

Counselor·Augusta, GA· NPI 1922725571 · Enumerated 2022 · 3 years on NPI
Shine is 1 of 216 counselor providers in Augusta and 1 of 7547 in Georgia.
NPI age
3 years
Enumerated 2022-10-25
Primary specialty
Counselor
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-10-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 7547 active counselor providers in Georgia.

NPI age
3 years
↓ 6 yr below median (9 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2022 → 2026

2022-10Enumerated in NPPES
2022 2026

Where they practice

Practice location
2967 Clarkston Rd
Augusta, GA 309099221
📞 4706451541fax 7066851218
Mailing address
2967 Clarkston Rd
Augusta, GA 309099221

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1343 Terrell Mill Rd Se Ste 228
Marietta, GA 300679472
📞 7706358505

Specialties

  • Counselor Primary
    Definition to come...
    GA license #LPC014201GA license #APC008605 taxonomy 101YP2500X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new counselor providers have been added in Augusta in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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