Individual provider Active NPI

Shannon Howard

  • Professional Counselor
  • White Plains, MD
National Provider Identifier
1164562278
Registry record updated Nov 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1508 Issued in MD
Practice address
10665 Stanhaven PL Ste 3119
White Plains, MD 20695-3055
Phone
(240) 448-3711
Fax
(240) 607-6702
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1508 MD Primary

Addresses

Primary practice location

10665 Stanhaven PL Ste 3119
White Plains, MD 20695-3055

Mailing address

10665 Stanhaven PL Ste 3119
White Plains, MD 20695-3055
Phone (240) 448-3711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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

Enrollment IDStateProvider typePAC IDDetails
I20240819003571 DC Practitioner - Mental Health Counselor 3173953031 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1508MDMDFamily Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Professional CurrentSince Jul 9, 2024 Accepting new patients
Create Your Life, LLC Professional CurrentSince Feb 25, 2020 Accepting new patients
Pinnacle Center for Mental Health & Human Relations LLC PastSince Feb 1, 2014 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

10665 Stanhaven Pl
Ste 3119
White Plains, MD 20695
Phone (240) 448-3711

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730505600000",
    "number": "1164562278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10665 STANHAVEN PL STE 3119",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953055",
            "telephone_number": "240-448-3711",
            "fax_number": "240-607-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10665 STANHAVEN PL STE 3119",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953055",
            "telephone_number": "240-448-3711",
            "fax_number": "240-607-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2024-11-02",
        "certification_date": "2024-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "1508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, MD

Sources for this page

Verify at the official NPI Registry.