Individual provider Active NPI

Shawnita McComb

  • Professional Counselor
  • Washington, DC
National Provider Identifier
1043869399
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LGPC00673 Issued in DC
Practice address
1801 Columbia Rd NW Ste 102
Washington, DC 20009-2031
Phone
(202) 506-3240
NPI assigned
Sep 10, 2019
Last updated
Aug 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LGPC00673 DC Primary
Professional Counselor 101YP2500X LC14648 MD

Addresses

Primary practice location

1801 Columbia Rd NW Ste 102
Washington, DC 20009-2031

Mailing address

715 Stretford Way Apt 205
Hyattsville, MD 20785-5949
Phone (202) 421-5333

Other practice location 1

2333 Ontario Rd NW
Washington, DC 20009-2627
Phone (202) 421-5333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LGPC00673DCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Otr Wellness CurrentSince Mar 11, 2025 Accepting new patients
Over the Rainbow LLC Past Accepting new patients

Locations

1801 Columbia Rd NW
Ste 102
Washington, DC 20009
Phone (202) 506-3240

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1043869399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 STRETFORD WAY APT 205",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207855949",
            "telephone_number": "202-421-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 COLUMBIA RD NW STE 102",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200092031",
            "telephone_number": "202-506-3240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2333 Ontario Rd NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200092627",
            "country_code": "US",
            "telephone_number": "202-421-5333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOMB",
        "first_name": "SHAWNITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "LGPC00673",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC14648",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.