Shanntell K Hamilton, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC12278 Issued in MD

Practice address

3030 Greenmount Ave Ste 250
Baltimore, MD 21218-6905

Phone

(443) 554-8905

Fax

(410) 480-0110

NPI assigned

May 18, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shanntell Hamilton Professional name

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: diamondstherapy@diamonds.net

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.

• Diamonds of the Rough LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1518604990
  NPD Authorized official

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1639743123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6554",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210456554",
            "telephone_number": "917-520-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 GREENMOUNT AVE STE 250",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212186905",
            "telephone_number": "443-554-8905",
            "fax_number": "410-480-0110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3355 Saint Johns Ln",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "210422605",
            "country_code": "US",
            "telephone_number": "443-554-8905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "SHANNTELL",
        "middle_name": "K",
        "name_prefix": "Miss",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC12278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206933401",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Diamonds360therapy@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8395 Tamar Dr Apt 225",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210455890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Diamondstherapy@diamonds.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3030 Greenmount Ave Ste 250",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212186905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHANNTELL",
            "last_name": "HAMILTON",
            "credential": "LCPC NBCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Natalie Hamilton
• Nicole Lynn Hamilton
• Qur'an Antiono Ulyesse Hamilton
• Randi Elizabeth Hamilton I, LGPC
• Robert Gordon Hamilton, PH.D.
• Sonia Hamilton
• Susan Hamilton, PHARMD
• Jessica Lynn Hamlin, MSW, CIT
• Jason Hamm-Bey, CSAD
• Joy A Hammack, CRNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.