Shore Lights Cognitive Care & Wellness LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SHORE LIGHTS COGNITIVE CARE & WELLNESS LLC

Practice address

111 Baptist St Ste 101
Salisbury, MD 21801-4932

Phone

(443) 205-4427

Fax

(443) 205-4941

NPI assigned

Nov 7, 2026

Last updated

Nov 7, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rachel Clark

Title

Ceo

Phone

(443) 205-4427

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1794009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1794009600000",
    "number": "1265332886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BAPTIST ST STE 101",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218014932",
            "telephone_number": "443-205-4427",
            "fax_number": "443-205-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BAPTIST ST STE 101",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218014932",
            "telephone_number": "443-205-4427",
            "fax_number": "443-205-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE LIGHTS COGNITIVE CARE & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-11-07",
        "last_updated": "2026-11-07",
        "certification_date": "2026-11-07",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-205-4427"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Roeseler Shipman, LCSW-C
• Mahmaud Shirazi, MD
• Megan Shockley, CRNP
• Meisha Shockley
• Reginald Harrison Shockley Sr., LCSW-C
• Shore Serenity Counseling & Wellness
• Shore Up Inc (Shady Pines Adult Day Services)
• Shore Up Inc.
• Shoreline Primary Care and Wellness
• Alyssa Lauren Shores, LCSW-C

• Mental Health Clinic/Center (Including Community Mental Health Center) in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.