Shani Watson, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC15066 Issued in MD

Practice address

12354 Open View LN
Upper Marlboro, MD 20774-1664

Phone

(240) 324-8080

NPI assigned

Jun 3, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Living Beyond Limitations

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Largo, MD
  • NPI 1306720917
  NPD Authorized official

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1649919911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9103 WOODMORE CENTER DR STE 155",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207061653",
            "telephone_number": "240-324-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12354 OPEN VIEW LN",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741664",
            "telephone_number": "240-324-8080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 McCormick Dr Ste 350",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "MD",
            "postal_code": "207745468",
            "country_code": "US",
            "telephone_number": "240-324-8080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "SHANI",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-03",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC15066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Watkins, LICSW, LCSW-C
• Deborah Jean Watkis, CCC-SLP
• Melissa Watson-Clark, LCSW-C
• Allyson Leontay Watson, LMFT
• Patrice Elaine Watson, EDD
• Soroya Watson, RN, IBCLC
• Watts Dental Associates
• Sonja Watts-Means, MSW
• Richard Watts, D.D.S.
• Waverly Center for Psychotherapy, LLC

• Mental Health Counselor in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.