Shawnessa Millicent Devonish, MA, LGPC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LGP9927 Issued in MD

Practice address

137 National PLZ Ste 300
Oxon Hill, MD 20745-1153

Phone

(301) 219-6955

NPI assigned

Jan 22, 2021

Last updated

Feb 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rejuvenated Minds Theraputic Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oxon Hill, MD
  • NPI 1053902502
  NPD Authorized official

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1386234474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 NATIONAL PLZ STE 300",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207451153",
            "telephone_number": "301-799-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 NATIONAL PLZ STE 300",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207451153",
            "telephone_number": "301-219-6955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2602 Brinkley Rd",
            "address_2": "Apt 405",
            "address_purpose": "LOCATION",
            "city": "Fort Washington",
            "state": "MD",
            "postal_code": "20744",
            "country_code": "US",
            "telephone_number": "301-799-5537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVONISH",
        "first_name": "SHAWNESSA",
        "middle_name": "MILLICENT",
        "credential": "MA, LGPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-02-09",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP9927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental One Associates Oxon Hill PC
• Dentistry for Children of Maryland, LLC
• Dereje Bereded DDS,LLC
• Kenneth Andre Desandies, MD
• Mytaya M Deville
• Dialysis Newco LLC (U.S. Renal Care Oxon Hills Dialysis)
• Diasporic Healing LLC
• Glenda Laurent Dickonson, PH.D., LCPC
• Diligent Support Services
• Dimensions Health Associates Dba University of Maryland Capital Region (University of Maryland Capital Region Health Medical Group)

• Mental Health Counselor in Oxon Hill, MD
• Providers in Oxon Hill, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.