Individual provider Active NPI

Sharina Shante' Staton, M.A., ADT

  • Mental Health Counselor
  • Rockville, MD
National Provider Identifier
1053777086
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
ADT670 Issued in MD
Practice address
6001 Montrose Rd Ste 102
Rockville, MD 20852-4872
Phone
(301) 896-2036
Fax
(301) 881-7428
NPI assigned
Jan 6, 2016
Last updated
Jan 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ADT670 MD
Mental Health Counselor 101YM0800X ADT670 MD Primary

Addresses

Primary practice location

6001 Montrose Rd Ste 102
Rockville, MD 20852-4872

Mailing address

6001 Montrose Rd Ste 102
Rockville, MD 20852-4872
Phone (301) 896-2036

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
ADT670MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Hospital, Inc. Past Accepting new patients
Suburban Hospital, Inc Addiction (Substance Use Disorder) PastSince Nov 1, 2015 Accepting new patients

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": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452038400000",
    "number": "1053777086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 MONTROSE RD STE 102",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524872",
            "telephone_number": "301-896-2036",
            "fax_number": "301-881-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 MONTROSE RD STE 102",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524872",
            "telephone_number": "301-896-2036",
            "fax_number": "301-881-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATON",
        "first_name": "SHARINA",
        "middle_name": "SHANTE'",
        "name_prefix": "Ms.",
        "credential": "M.A., ADT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "ADT670",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "ADT670",
            "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 Jan 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.