Active NPI
Jeff Shinal, LCPC
- Professional Counselor
- Rockville, MD
National Provider Identifier
1003086786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC2044
- Practice address
- 966 Hungerford Dr
Suite 14a
Rockville, MD 20850-1714 - Phone
- (703) 585-1066
- Fax
- (703) 771-4022
- NPI assigned
- Mar 10, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC2044 | MD | Primary |
Addresses
Primary practice location
966 Hungerford Dr
Suite 14a
Rockville, MD 20850-1714
Mailing address
311 Lawford Dr SW
Suite 14a
Leesburg, VA 20175
Phone (703) 585-1066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC2044 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413936000000",
"number": "1003086786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 LAWFORD DR SW",
"address_2": "SUITE 14A",
"city": "LEESBURG",
"state": "VA",
"postal_code": "20175",
"telephone_number": "703-585-1066",
"fax_number": "703-771-4022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "966 HUNGERFORD DR",
"address_2": "SUITE 14A",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208501714",
"telephone_number": "703-585-1066",
"fax_number": "703-771-4022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHINAL",
"first_name": "JEFF",
"name_prefix": "Mr.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-10",
"last_updated": "2014-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC2044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.