Organization Active NPI

Lotus Embodied Counseling,LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbia, MD
National Provider Identifier
1336732239
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LOTUS EMBODIED COUNSELING,LLC
Practice address
10450 Shaker Dr Ste 109
Columbia, MD 21046-1136
Phone
(240) 463-0045
NPI assigned
Feb 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Authorized official

Name
Sharnise Nicole Hendrick, LCPC
Title
Owner and Psychotherapist
Phone
(240) 463-0045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

10450 Shaker Dr Ste 109
Columbia, MD 21046-1136

Mailing address

10450 Shaker Dr Ste 109
Columbia, MD 21046-1136
Phone (240) 756-6516

Other identifiers 1

IdentifierTypeStateIssuer
1407335938OtherMDPERSONAL NPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sharnise@lotusembodiedcounseling.com Direct

National Provider Directory

National Provider Directory

Locations

10450 Shaker Dr
Ste 109
Columbia, MD 21046
Phone (240) 463-0045

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1336732239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 SHAKER DR STE 109",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461136",
            "telephone_number": "240-756-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 SHAKER DR STE 109",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461136",
            "telephone_number": "240-463-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS EMBODIED COUNSELING,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "HENDRICK",
        "authorized_official_first_name": "SHARNISE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER AND PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "240-463-0045",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1407335938",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sharnise@lotusembodiedcounseling.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA compliant email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "GSUITE",
            "address_1": "10450 Shaker Dr Ste 109",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210461136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.