Theresa Marie Shedleski, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC6544 Issued in MD

Practice address

2700 Washington Ave
Halethorpe, MD 21227-3115

Phone

(667) 600-3984

Fax

(667) 600-4065

NPI assigned

Nov 12, 2018

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Associated Catholic Charities, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1073639159
  NPD

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1467920199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 WASHINGTON AVE",
            "city": "HALETHORPE",
            "state": "MD",
            "postal_code": "212273115",
            "telephone_number": "667-600-3984",
            "fax_number": "667-600-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 WASHINGTON AVE",
            "city": "HALETHORPE",
            "state": "MD",
            "postal_code": "212273115",
            "telephone_number": "667-600-3984",
            "fax_number": "667-600-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEDLESKI",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC6544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allanah Rivers
• Alecia Saunders, PHARMD
• Richard Saunders
• Taylor Seidel, PHARMD
• Sumayyah Shah
• Phoebe Sheppard, LCSW-C
• Huijun Shi, M.D.
• Shannon Shuman
• Sara Waseem Siddiqi, MD
• Shariee Sims

• Professional Counselor in Halethorpe, MD
• Providers in Halethorpe, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.