Individual provider Active NPI

Lonna Margaret Shelton-Soward, LGPC

  • Mental Health Counselor
  • Frederick, MD
National Provider Identifier
1215523352
Registry record updated Dec 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LGP10166 Issued in MD
Practice address
1707 Rosemont Ave
Frederick, MD 21702-4135
Phone
(202) 486-6122
NPI assigned
Dec 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2020

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 LGP10166 MD Primary

Addresses

Primary practice location

1707 Rosemont Ave
Frederick, MD 21702-4135

Mailing address

138 Penwick Cir
Frederick, MD 21702-5106
Phone (202) 486-6122

Other identifiers 1

IdentifierTypeStateIssuer
LGP10166OtherMDMENTAL HEALTH COUNSELING

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Frederick Other

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
LGP10166MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hearts Counseling Solutions Mental Health CurrentSince Dec 3, 2023 Accepting new patients

Organizations & group practices 1

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": "1607817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607817600000",
    "number": "1215523352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 PENWICK CIR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217025106",
            "telephone_number": "202-486-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 ROSEMONT AVE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024135",
            "telephone_number": "202-486-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON-SOWARD",
        "first_name": "LONNA",
        "middle_name": "MARGARET",
        "credential": "LGPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-13",
        "last_updated": "2020-12-13",
        "certification_date": "2020-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP10166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH COUNSELING",
            "identifier": "LGP10166",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Frederick",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Frederick",
            "address_1": "1707 Rosemont Ave",
            "city": "Frederick",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217024135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2020; 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.