Shaneeta D Reaves, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC9305 Issued in MD

Practice address

877 Baltimore Annapolis Blvd Ste 312
Severna Park, MD 21146-4716

Phone

(410) 315-9350

Fax

(833) 449-5169

NPI assigned

Nov 28, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Evolve Life Centers Iop LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pasadena, MD
  • NPI 1568123966
  Medicare reassignment

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1538639992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 BALTIMORE ANNAPOLIS BLVD STE 312",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 BALTIMORE ANNAPOLIS BLVD STE 312",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464716",
            "telephone_number": "410-315-9350",
            "fax_number": "833-449-5169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Chinquapin Round Rd Ste 2I",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214014006",
            "country_code": "US",
            "telephone_number": "410-990-1811 x105",
            "fax_number": "443-949-7379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8638 Veterans Hwy Ste 301",
            "address_purpose": "LOCATION",
            "city": "Millersville",
            "state": "MD",
            "postal_code": "211081422",
            "country_code": "US",
            "telephone_number": "410-740-8066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REAVES",
        "first_name": "SHANEETA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-28",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC9305",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP7646",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Rajput
• Lydia Abejuela Ramento-Tipon, PT
• Dana Rand
• Tyler Raup, AU.D
• Angela Rawlinson
• Rediclinic of MD, LLC
• Daryn Reeder
• Shakeena Reeder, BEHAVIOR TECHNICIAN
• Maeve Connor Register
• Stephanie Rehanek

• Professional Counselor in Severna Park, MD
• Providers in Severna Park, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.