PATTI P SHIPP (LPC, MAC) – Mental Health Counselor, NPI 1265673305

PATTI P SHIPP (LPC, MAC) is a healthcare provider. based in Eastanollee, Georgia. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC, MAC. They hold a License No. LPC004304 (GA). The NPI Number for PATTI P SHIPP (LPC, MAC) is 1265673305

Main info

Female
Sole Proprietor
30 Years Of Experience
Name
PATTI P SHIPP (LPC, MAC)
NPI
1265673305
Phone
(709) 903-7547
Address
101 CAMP RD
Enumeration Date
19 March 2009
Last Update Date
3 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1996 (30 years ago)
PAC ID
4284145988
Professional Enrollment ID
I20250619000024
Address ID
GA305422829FL4331XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,201 MENTAL HEALTH COUNSELOR in GA

Provider Addresses for PATTI P SHIPP (LPC, MAC)

  • 101 CAMP RD

    EASTANOLLEE, GA 305383085

    Phone: (709) 903-7547

    Type: Mailing

  • 46 WALL STREET WAY UNIT 2

    TOCCOA, GA 305776236

    Phone: (770) 990-3754

    Type: Location

  • Mundy Mill Road, Blackshear Place, Oakwood, Hall County, Georgia, 30566, United States

    OAKWOOD, GA 305662560

    Phone: (770) 540-8149

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250619000024IMental Health CounselorGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30538)

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Reviews

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Frequently asked questions

Does PATTI P SHIPP (LPC, MAC) have a public NPI I can cite?
Public records show PATTI P SHIPP (LPC, MAC) under NPI 1265673305.
Is PATTI P SHIPP (LPC, MAC) currently accepting referrals based on NPI status?
Registry metadata lists PATTI P SHIPP (LPC, MAC) as active.
How should patients interpret PATTI P SHIPP (LPC, MAC)'s specialty?
The extract shows Mental Health Counselor for PATTI P SHIPP (LPC, MAC). Clinical services aligned with this taxonomy classification.
Which community is linked to PATTI P SHIPP (LPC, MAC)?
PATTI P SHIPP (LPC, MAC) shows a connection to Eastanollee, Georgia in registry-derived data.
Who maintains PATTI P SHIPP (LPC, MAC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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