Individual provider Active NPI

Shanna Lahrae Lavjonne-Brown

  • Mental Health Counselor
  • Stevensville, MD
National Provider Identifier
1235894536
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A0653 Issued in MD
Practice address
155 Log Canoe Cir
Stevensville, MD 21666-2127
Phone
(410) 604-0226
NPI assigned
Nov 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC17812 MD
Mental Health Counselor 101YM0800X A0653 MD Primary

Addresses

Primary practice location

155 Log Canoe Cir
Stevensville, MD 21666-2127

Mailing address

108 Morning Glory Dr
Denton, MD 21629-2716
Phone (443) 421-7774

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
I20260521001244 MD Practitioner - Mental Health Counselor 3971072752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesapeake Bay Psychological Services LLCGroup PAC ID 3274710512, 10 clinicians

Practice addresses (Care Compare)

155 Log Canoe Cir
Stevensville, MD 21666-2127
Phone (410) 604-0226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A0653MDMDMental Health Counselor
LC17812MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Life Change Therapy Now LLC CurrentSince Aug 4, 2024 Accepting new patients

Locations

21 Byte Ct
Ste G
Frederick, MD 21702
Phone (301) 846-7872

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": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1235894536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 MORNING GLORY DR",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216292716",
            "telephone_number": "443-421-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 LOG CANOE CIR",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662127",
            "telephone_number": "410-604-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVJONNE-BROWN",
        "first_name": "SHANNA",
        "middle_name": "LAHRAE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-02",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC17812",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "A0653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevensville, MD

Sources for this page

Verify at the official NPI Registry.