MRS. KEMBERLY SHIOBHAN SHERIDAN LPC
NPI 1720367592
Counselor - Professional in Johns Creek, GA

NPI Status: Active since August 11, 2011

Contact Information

9810 MEDLOCK BRIDGE ROAD.
BLDG. B, SUITE 101
JOHNS CREEK, GA
ZIP 30097
Phone: (770) 680-4732

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  • Individual
  • Female
  • Counselor
  • Professional

About KEMBERLY SHERIDAN

This page provides the complete NPI Profile along with additional information for Kemberly Sheridan, a provider established in Johns Creek, Georgia with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1720367592 assigned on August 2011. The practitioner's primary taxonomy code is 101YP2500X with license number LPC001788 (GA). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1720367592
Provider Name
MRS. KEMBERLY SHIOBHAN SHERIDAN LPC
Gender
Female
Entity Type
Individual
Location Address
9810 MEDLOCK BRIDGE ROAD. BLDG. B, SUITE 101 JOHNS CREEK, GA 30097
Location Phone
(770) 680-4732
Mailing Address
9810 MEDLOCK BRIDGE ROAD BLDG. B, SUITE 101 JOHNS CREEK, GA 30097
Mailing Phone
(770) 680-4732
Is Sole Proprietor?
Yes
Enumeration Date
08-11-2011
Last Update Date
02-26-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
LPC001788
License State
GA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

APC002529 (GA)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720367592
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27406614518
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 6 + 6 + 1 + 4 + 5 + 1 + 8 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1720367592 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720367592, enumerated in the NPI registry as an "individual" on August 11, 2011

The provider is located at 9810 Medlock Bridge Road. Bldg. B, Suite 101 Johns Creek, Ga 30097 and the phone number is (770) 680-4732

The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional

This NPI record was last updated on August 11, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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