Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Austin Thomas Shively, LAPC

Individual provider Counselor · NPI 1083287742

Austin Thomas Shively, LAPC is a Mental Health Counselor in Augusta, Georgia. Qualified in 2022, 4 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

3633 Wheeler Rd Ste 365
Augusta, GA 30909-6549
Phone: (706) 432-6866
Fax: (706) 432-8775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence APC008650 (GA)
Counselor Taxonomy 101Y00000X

Record details

NPI number1083287742
Entity typeIndividual (Type 1)
GenderMale
Credentials LAPC
Sole proprietorYes
NPI enumeratedJuly 21, 2021
Last updated in NPPESSeptember 26, 2022
Certification dateSeptember 26, 2022
Mailing address3633 Wheeler Rd Ste 365, Augusta, GA 30909-6549

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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