Individual provider Active NPI

Sandra Shipley Jones, PH.D.

  • Professional Counselor
  • Westminster, MD
National Provider Identifier
1245430149
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LCO469 Issued in MD
Practice address
1812 Baltimore Blvd
Suite G
Westminster, MD 21157-7146
Phone
(410) 386-0620
Fax
(410) 795-8391
NPI assigned
Jul 19, 2007
Last updated
Jul 19, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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 LCO469 MD Primary

Addresses

Primary practice location

1812 Baltimore Blvd
Suite G
Westminster, MD 21157-7146

Mailing address

1879 Amanda Lane
Finksburg, MD 21048
Phone (410) 795-2166

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
I20240111001499 MD Practitioner - Mental Health Counselor 5496106791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Finksburg Plaza Counseling Service, LLCGroup PAC ID 2466401534, 10 clinicians

Practice addresses (Care Compare)

1812 Baltimore Blvd
Suite a
Westminster, MD 21157-7144
Phone (410) 751-6176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LCO469MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Finksburg Plaza Counseling Service, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

1812 Baltimore Blvd
Ste A
Westminster, MD 21157
Phone (410) 751-6176

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1245430149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1879 AMANDA LANE",
            "city": "FINKSBURG",
            "state": "MD",
            "postal_code": "21048",
            "telephone_number": "410-795-2166",
            "fax_number": "410-795-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 BALTIMORE BLVD",
            "address_2": "SUITE G",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211577146",
            "telephone_number": "410-386-0620",
            "fax_number": "410-795-8391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "SANDRA",
        "middle_name": "SHIPLEY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LCO469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.