Individual provider Active NPI

Shauna Michelle Rykiel, LCSW-C, LCADC

  • Addiction (Substance Use Disorder) Counselor
  • Severna Park, MD
National Provider Identifier
1407064397
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LCA424 Issued in MD
Practice address
570 Ritchie Hwy # H
Severna Park, MD 21146-2925
Phone
(410) 975-0067
Fax
(410) 975-0204
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCA424 MD Primary
Clinical Social Worker 1041C0700X 12380 MD

Addresses

Primary practice location

570 Ritchie Hwy # H
Severna Park, MD 21146-2925

Mailing address

PO Box 1012
Severna Park, MD 21146-8012
Phone (410) 975-0067

Other identifiers 1

IdentifierTypeStateIssuer
11340840OtherMDCAQH PROVIDER NUMBER

Other names 1

  • Miss Shauna Michelle Moran Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCA424MDMDAddiction (Substance Use Disorder) Counselor
12380MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Robert a. Pascal Youth and Family Services, Inc. Past Accepting new patients

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1407064397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1012",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211468012",
            "telephone_number": "410-975-0067",
            "fax_number": "410-975-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 RITCHIE HWY # H",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462925",
            "telephone_number": "410-975-0067",
            "fax_number": "410-975-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYKIEL",
        "first_name": "SHAUNA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LCA424",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12380",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER NUMBER",
            "identifier": "11340840",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAUNA",
            "last_name": "MORAN",
            "middle_name": "MICHELLE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.