IndividualActive
Jessica Shine
NPI 1922725571 · Professional Counselor · Augusta, GA
Provider details
- NPI number
- 1922725571
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- APC008605 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2967 Clarkston Rd
Augusta, GA 30909-9221
Phone: (470) 645-1541
Fax: (706) 685-1218
Street-level locationGet directions
Mailing address
2967 Clarkston Rd
Augusta, GA 30909-9221
Additional practice locations (1)
- 1343 Terrell Mill Rd Se Ste 228Marietta, GA 30067-9472Phone: (770) 635-8505
Registry dates
- Enumerated
- 2022-10-25
- Last updated
- 2023-10-11
- Certified
- 2023-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.