Individual provider Active NPI

Sherlandra Coulby Noto

  • Mental Health Counselor
  • Baltimore, MD
National Provider Identifier
1154986164
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC10544 Issued in MD
Practice address
1712 Wycliffe Ave
Baltimore, MD 21234-6824
Phone
(443) 410-6735
Fax
(410) 874-8599
NPI assigned
May 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC10544 MD Primary

Addresses

Primary practice location

1712 Wycliffe Ave
Baltimore, MD 21234-6824

Mailing address

1712 Wycliffe Ave
Baltimore, MD 21234-6824
Phone (443) 410-6735

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

LicenseStateTypeSpecialty
LC10544MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginnings Therapy CurrentSince Dec 10, 2023 Accepting new patients
Safe Harbor Behavioral Care, LLC Mental Health PastSince Nov 1, 2020 Accepting new patients
Safe Harbor Community Services Mental Health PastSince Jun 1, 2023 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1154986164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 WYCLIFFE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212346824",
            "telephone_number": "443-410-6735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 WYCLIFFE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212346824",
            "telephone_number": "443-410-6735",
            "fax_number": "410-874-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOTO",
        "first_name": "SHERLANDRA",
        "middle_name": "COULBY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-06",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC10544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.