Individual provider Active NPI

Judy Sheppard, LCPC

  • Professional Counselor
  • Columbia, MD
National Provider Identifier
1356747026
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC13303 Issued in MD
Practice address
8865 Stanford Blvd Ste 200
Columbia, MD 21045-5420
Phone
(410) 935-1821
NPI assigned
Nov 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC13303 MD Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAL2054 MD

Addresses

Primary practice location

8865 Stanford Blvd Ste 200
Columbia, MD 21045-5420

Mailing address

8865 Stanford Blvd Ste 200
Columbia, MD 21045-5420
Phone (410) 935-1821

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
I20260205004239 MD Practitioner - Mental Health Counselor 2769961176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8865 Stanford Blvd
Suite 202
Columbia, MD 21045-5146

8865 Stanford Blvd
Suite 202
Columbia, MD 21045-5422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCAL2054MDMDAddiction (Substance Use Disorder) Counselor
LC13303MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Centered Counseling CurrentSince Sep 29, 2025 Accepting new patients

Locations

8865 Stanford Blvd
Ste 202
Columbia, MD 21045
Phone (410) 204-1649

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1356747026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8865 STANFORD BLVD STE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455420",
            "telephone_number": "410-935-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8865 STANFORD BLVD STE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455420",
            "telephone_number": "410-935-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "JUDY",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-07",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC13303",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LCAL2054",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.