Shelby Lynn Bruggeman, MA

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

9475 Deereco Rd Ste 410
Lutherville Timonium, MD 21093-2124

Phone

(410) 560-6135

Fax

(410) 560-6136

NPI assigned

Sep 4, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Core Counseling Services Co

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Timonium, MD
  • NPI 1164895546
  Medicare reassignment NPD
• Core Clinical Services

  • Clinical Psychologist
  • Timonium, MD
  • NPI 1649656943
  NPD

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1235915588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9475 DEERECO RD STE 410",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210932124",
            "telephone_number": "410-560-6135",
            "fax_number": "410-560-6136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475 DEERECO RD STE 410",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210932124",
            "telephone_number": "410-560-6135",
            "fax_number": "410-560-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUGGEMAN",
        "first_name": "SHELBY",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Quinlan
• Bridginglife, Inc.
• Bright Skies Therapy Services LLC
• Carol B Brown, LMSW
• Deon Jarmall Brown I, LCPC,LCADC
• Natalie Bryson
• Giatu Bui, DDS
• Melanie M Burke, DMD
• Elizabeth Burton, LCPC
• Sophia Butz

• Counselor in Lutherville Timonium, MD
• Providers in Lutherville Timonium, MD by specialty
• Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.