SMR Counseling Services, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC4866 Issued in MD

Legal business name

SMR COUNSELING SERVICES, LLC

Practice address

11785 Beltsville Dr Ste 120
Calverton, MD 20705-3121

Phone

(240) 389-1487

NPI assigned

Jun 17, 2013

Last updated

Feb 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shauna Moore Reynolds, ED.D, LCP, LCPC, NCCNPI 1477809119

Title

Owner, Director

Phone

(240) 389-1487

Specialties & licenses 6

Addresses

Other identifiers 2

Other names 1

• Dr. Shauna Moore Reynolds Other name

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shauna Moore Reynolds, ED.D., NCC,LPC, LCPC

  • Professional Counselor
  • Calverton, MD
  • NPI 1477809119

  DC

  Medicare reassignment NPD Authorized official
• Cherese Carter

  • Professional Counselor
  • Bowie, MD
  • NPI 1124804588
  NPD
• Shawntel Collins, M.S., LGPC, NCC

  • Professional Counselor
  • Calverton, MD
  • NPI 1912732504
  NPD
• Keyana A Graham-Jackson, LCPC

  • Mental Health Counselor
  • Elkridge, MD
  • NPI 1417691106
  NPD
• Victoria Guthrie

  • Professional Counselor
  • Beltsville, MD
  • NPI 1801671391
  NPD
• Lisette M Montalvo, MA, LGPC

  • Counselor
  • Calverton, MD
  • NPI 1407746308
  NPD
• Caroline Hughes

  • Counselor
  • Calverton, MD
  • NPI 1174465926
  NPD (past)
• Raymond J. Nardella, EDD, JD

  • Professional Counselor
  • Beltsville, MD
  • NPI 1629936943

  Mental Health

  NPD (past)
• Isaeika Carina Paluch, LGPC

  • Mental Health Counselor
  • Calverton, MD
  • NPI 1740129527
  NPD (past)
• Miguel Angel Hernandez Concepcion, LCPC, LPC

  • Professional Counselor
  • Richmond, VA
  • NPI 1306588124
  NPD (past)

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1508205295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 275",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208660275",
            "telephone_number": "240-389-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11785 BELTSVILLE DR STE 120",
            "city": "CALVERTON",
            "state": "MD",
            "postal_code": "207053121",
            "telephone_number": "240-389-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMR COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-17",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "MOORE REYNOLDS",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_title_or_position": "OWNER, DIRECTOR",
        "authorized_official_telephone_number": "240-389-1487",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D, LCP, LCPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "DC",
            "license": "PCR14291",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "MD",
            "license": "LC4866",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "PCR14291",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC4866",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC4866",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PCR14291",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0647632P0000",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889048000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Shauna Moore Reynolds",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Isaeika Carina Paluch, LGPC
• Cheryl Roberts-Samsingh, LICSW, LCSW-C
• Safe Space Behavioral Health
• Janelle R Salo, RN
• Olivia Xumatu Sesay, LMSW
• Modupe Strong
• Margaret Terry, PHD
• The Washington Home & Community Hospices Inc (Comunity Hospice of Maryland)
• The Washington Home & Community Hospices Inc
• Igor Trilisky, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.