Shannon Nickey, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC12917 Issued in MD

Practice address

8001 Highpoint Rd
Baltimore, MD 21234-5411

Phone

(410) 926-9606

NPI assigned

Oct 20, 2022

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 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.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  MD

  Medicare reassignment Care Compare group NPD
• Harford County Health Department

  dba HCHD Clinical Health Services 1942579073

  • Public Health or Welfare Agency
  • Edgewood, MD
  • NPI 1942579073
  Medicare reassignment NPD
• Harford County Health Department

  dba HCHD Behavioral Health Services

  • Public Health or Welfare Agency
  • Bel Air, MD
  • NPI 1396014429
  NPD

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1144947128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 HIGHPOINT RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212345411",
            "telephone_number": "410-926-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 HIGHPOINT RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212345411",
            "telephone_number": "410-926-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKEY",
        "first_name": "SHANNON",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-20",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC12917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri Shenell Nicholson
• Nick H Truong DMD LLC (Cascade of Smiles)
• Nickel N Dime LLC (Precision DME Coding and Billing Experts)
• Stefanie Bernadette Nickel, DPT
• Elisabeth Marshall Nickels, PH.D.
• Ariel Nickesha Nickie Davies, PSYD
• Amanda Nickles Fader, MD
• Cosette L Nickles, C.R.N.P.
• Morgan Nicklow
• Pamela Nickoles, RN, BSN, CCRP, OCN

• 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 Dec 6, 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.