Individual provider Active NPI

Shahzad Dastgir

  • Mental Health Counselor
  • Bethesda, MD
National Provider Identifier
1568193670
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
8120 Woodmont Ave Ste 840
Bethesda, MD 20814-2743
Phone
(240) 618-2889
NPI assigned
Jun 20, 2022
Last updated
Jun 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MD Primary

Addresses

Primary practice location

8120 Woodmont Ave Ste 840
Bethesda, MD 20814-2743

Mailing address

21512 New Hampshire Ave
Brookeville, MD 20833-1841
Phone (202) 360-9183

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

Practice roles

OrganizationSpecialtyStatusNew patients
One Mental Health LLC Multi-Specialty CurrentSince Jul 3, 2022 Accepting new patients
Krem Capital, Inc Multi-Specialty Current Accepting new patients

Locations

8120 Woodmont Ave
Ste 840
Bethesda, MD 20814
Phone (240) 618-2889

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1568193670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21512 NEW HAMPSHIRE AVE",
            "city": "BROOKEVILLE",
            "state": "MD",
            "postal_code": "208331841",
            "telephone_number": "202-360-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 WOODMONT AVE STE 840",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142743",
            "telephone_number": "240-618-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASTGIR",
        "first_name": "SHAHZAD",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.