Stephanie R Sherrer

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC11063 Issued in MD

Practice address

18111 Prince Philip Dr Ste 311
Olney, MD 20832-1508

Phone

(410) 893-4600

Fax

(443) 640-4358

NPI assigned

Jan 14, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Safe Harbor Behavioral Care, LLC

  • Clinical Social Worker
  • Bel Air, MD
  • NPI 1316487879

  Professional

  Medicare reassignment NPD
• Safe Harbor Christian Counseling LLC

  • Clinical Social Worker
  • Bel Air, MD
  • NPI 1245377894

  Professional

  NPD (past)

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1275007148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19336 CIRCLE GATE DR APT 304",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208745234",
            "telephone_number": "601-212-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18111 PRINCE PHILIP DR STE 311",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321508",
            "telephone_number": "410-893-4600",
            "fax_number": "443-640-4358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1208 E Churchville Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210143485",
            "country_code": "US",
            "telephone_number": "410-893-4600",
            "fax_number": "410-640-4358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4603 Eastern Ave",
            "address_purpose": "LOCATION",
            "city": "Mount Rainier",
            "state": "MD",
            "postal_code": "207122407",
            "country_code": "US",
            "telephone_number": "410-893-4600",
            "fax_number": "410-640-4358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8818 Piney Branch Rd",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209033506",
            "country_code": "US",
            "telephone_number": "410-893-4600",
            "fax_number": "410-640-4358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERRER",
        "first_name": "STEPHANIE",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-14",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP7790",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC11063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raza Shah, M.D.
• Jahon Shahegh
• Vandhna Rani Sharma, M.D.
• Mandy Shaw, FNP
• Artie Lindy Shelton, M.D.
• Serge M Shewchuk, MD
• Jacob Anthony Shilling
• Merob Shimeles
• Steven Marc Shimoura, M.D.
• Soohwan Shin, DPT

• Professional Counselor in Olney, MD
• Providers in Olney, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.