Individual provider Active NPI

Shaun Emory Robbs, LCPC

  • Professional Counselor
  • Baltimore, MD
National Provider Identifier
1174596571
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC6406 Issued in MD
Practice address
3412 Dolfield Ave Apt 119
Baltimore, MD 21215-7254
Phone
(443) 562-0374
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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 AC0053 MD
Professional Counselor 101YP2500X LC6406 MD Primary

Addresses

Primary practice location

3412 Dolfield Ave Apt 119
Baltimore, MD 21215-7254

Mailing address

3412 Dolfield Ave Apt 119
Baltimore, MD 21215-7254
Phone (443) 562-0374

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260522002488 MD Practitioner - Mental Health Counselor 2860962586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sailor Health Medical PAGroup PAC ID 4486182342, 301 clinicians

Practice addresses (Care Compare)

10711 Red Run Blvd
Suite 101
Owings Mills, MD 21117-5138
Phone (240) 201-3386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AC0053MDMDAddiction (Substance Use Disorder) Counselor
LC6406MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Next Horizons Professional CurrentSince Aug 9, 2020 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1174596571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3412 DOLFIELD AVE APT 119",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212157254",
            "telephone_number": "443-562-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3412 DOLFIELD AVE APT 119",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212157254",
            "telephone_number": "443-562-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBBS",
        "first_name": "SHAUN",
        "middle_name": "EMORY",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "AC0053",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC6406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.