Individual provider Active NPI

Susan Shelby Lawyer, LCPC

  • Professional Counselor
  • Westminster, MD
National Provider Identifier
1508427816
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC11309 Issued in MD
Practice address
1812 Baltimore Blvd Ste C
Westminster, MD 21157-7144
Phone
(443) 398-4649
NPI assigned
Jun 26, 2019
Last updated
Sep 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC11309 MD Primary

Addresses

Primary practice location

1812 Baltimore Blvd Ste C
Westminster, MD 21157-7144

Mailing address

1812 Baltimore Blvd Ste C
Westminster, MD 21157-7144
Phone (443) 398-4649

Other identifiers 1

IdentifierTypeStateIssuer
NONOtherMDNON

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC11309MDMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1508427816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 BALTIMORE BLVD STE C",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211577144",
            "telephone_number": "443-398-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 BALTIMORE BLVD STE C",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211577144",
            "telephone_number": "443-398-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWYER",
        "first_name": "SUSAN",
        "middle_name": "SHELBY",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC11309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON",
            "identifier": "NON",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.