Shoshana Sass, LGPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LGP13544 Issued in MD

Practice address

3655 Old Court Rd
Baltimore, MD 21208-3905

Phone

(410) 630-9064

NPI assigned

Feb 9, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Empowerment Therapy Services of Maryland, LLCGroup PAC ID 0345644092, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Empowerment Therapy Services of Maryland, LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1942884671
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1104523240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2518 WILLOW GLEN DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093135",
            "telephone_number": "410-831-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 OLD COURT RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212083905",
            "telephone_number": "410-630-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASS",
        "first_name": "SHOSHANA",
        "name_prefix": "Mrs.",
        "credential": "LGPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP13544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A Sartori, PH.D.
• Sarubin Family Dental Association
• Koby Scott Sarubin, DDS
• Murray F Sarubin, DDS
• Toshio Sasamori, M.D.
• John Sasser, M.D.
• Gilliane Rebecca Mbatomun Sasvari
• Aliyah Genice Satchell
• Holly Sater, LCPC
• Srividya Sathiyamoorthy, MD

• Mental Health Counselor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.