Individual provider Active NPI

Sherina Maryam Shamsa, LCPC

  • Mental Health Counselor
  • Bowie, MD
National Provider Identifier
1316504848
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
4107 Glenn Dale Rd
Bowie, MD 20720-3578
Phone
(301) 648-3082
NPI assigned
May 21, 2019
Last updated
May 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

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

Addresses

Primary practice location

4107 Glenn Dale Rd
Bowie, MD 20720-3578

Mailing address

4107 Glenn Dale Rd
Bowie, MD 20720-3578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231117000712 DC Practitioner - Mental Health Counselor 0345697009 Reassigns benefits to 4 organizations
I20250604002791 MD Practitioner - Mental Health Counselor 0345697009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psych Associates of Maryland LLCGroup PAC ID 3971550963, 151 clinicians
Green Ridge Behavioral Health, LLCGroup PAC ID 3476685181, 10 clinicians

Practice addresses (Care Compare)

120 Sister Pierre Dr
Suite 403
Towson, MD 21204-7536
Phone (410) 823-6408

1395 Piccard Dr
Suite 320
Rockville, MD 20850-4349
Phone (240) 683-6202

1447 York Rd
Suite 601
Lutherville, MD 21093-6034
Phone (410) 823-6408

4520 E W Hwy
Suite 775
Bethesda, MD 20814-0066
Phone (410) 823-6408

9891 Broken Land Pkwy
Suite 210
Columbia, MD 21046-3001
Phone (410) 823-6408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Care, LLC Current Accepting new patients
Sol Rising Counseling LLC CurrentSince Aug 1, 2025 Accepting new patients
Green Ridge Behavioral Health, LLC CurrentSince Jan 1, 2024 Accepting new patients
Psych Associates of Maryland LLC CurrentSince Apr 1, 2025 Accepting new patients
Premier Health Care LLC CurrentSince Mar 1, 2024 Accepting new patients
Neta, Inc. PastSince Jan 21, 2020 Accepting new patients

Locations

4520 East West Hwy
Ste 775
Bethesda, MD 20814
Phone (240) 531-2799

1395 Piccard Dr
Ste 320
Rockville, MD 20850
Phone (240) 683-6202

12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873

2331 York Rd
Ste 100
Timonium, MD 21093

120 Sister Pierre Dr
Ste 403
Towson, MD 21204
Phone (410) 823-6406

Organizations & group practices 6

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": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1316504848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4107 GLENN DALE RD",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207203578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 GLENN DALE RD",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207203578",
            "telephone_number": "301-648-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMSA",
        "first_name": "SHERINA",
        "middle_name": "MARYAM",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-21",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.