Individual provider Active NPI

Shanika McCallum-Coppage, LCPC, NCC

  • Mental Health Counselor
  • Belcamp, MD
National Provider Identifier
1376321802
Registry record updated Oct 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC16719 Issued in MD
Practice address
4690 Millennium Dr Ste 300
Belcamp, MD 21017-1527
Phone
(443) 722-0249
Fax
(410) 275-3551
NPI assigned
Sep 18, 2023
Last updated
Oct 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 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 PC-0011930 DE
Mental Health Counselor 101YM0800X LC16719 MD Primary

Addresses

Primary practice location

4690 Millennium Dr Ste 300
Belcamp, MD 21017-1527

Mailing address

PO Box 767
North East, MD 21901-0767
Phone (443) 722-0249

Other practice location 1

25 Sugarberry Dr
Elkton, MD 21921-4845
Phone (443) 722-0249

Other identifiers 2

IdentifierTypeStateIssuer
3001831600MedicaidVA
335757100MedicaidMD

Other names 1

  • Shanika Coppage Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 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
I20250813001109 MD Practitioner - Mental Health Counselor 5193223626 Reassigns benefits to 1 organization
I20260219003461 DE Practitioner - Mental Health Counselor 5193223626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25 Sugarberry Dr
Elkton, MD 21921-4845
Phone (443) 722-0249

4690 Millennium Dr
Suite 314
Belcamp, MD 21017-1527
Phone (443) 722-0249

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC-0011930DEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Believe in Yourself Therapy, LLC Mental Health CurrentSince Jul 20, 2025 Accepting new patients
Believe in Yourself Therapy, LLC Mental Health CurrentSince Aug 10, 2023 Accepting new patients
Believe in Yourself Therapy, LLC CurrentSince Dec 1, 2025 Accepting new patients
Believe in Yourself Therapy, LLC Mental Health Past Accepting new patients
Believe in Yourself Therapy, LLC Mental Health Past Accepting new patients

Locations

4690 Millennium Dr
Ste 300
Belcamp, MD 21017
Phone (254) 835-3911

Organizations & group practices 5

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": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760227200000",
    "number": "1376321802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 767",
            "city": "NORTH EAST",
            "state": "MD",
            "postal_code": "219010767",
            "telephone_number": "443-722-0249",
            "fax_number": "410-275-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4690 MILLENNIUM DR STE 300",
            "city": "BELCAMP",
            "state": "MD",
            "postal_code": "210171527",
            "telephone_number": "443-722-0249",
            "fax_number": "410-275-3551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Sugarberry Dr",
            "address_purpose": "LOCATION",
            "city": "Elkton",
            "state": "MD",
            "postal_code": "219214845",
            "country_code": "US",
            "telephone_number": "443-722-0249",
            "fax_number": "410-275-3551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCALLUM-COPPAGE",
        "first_name": "SHANIKA",
        "name_prefix": "Ms.",
        "credential": "LCPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2025-10-12",
        "certification_date": "2025-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "PC-0011930",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC16719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3001831600",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "335757100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANIKA",
            "last_name": "COPPAGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Belcamp, MD

Sources for this page

Verify at the official NPI Registry.