Matthew Shure

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LGP15170 Issued in MD

Practice address

7474 Greenway Center Dr Ste 200
Greenbelt, MD 20770-3524

Phone

(240) 304-3327

NPI assigned

Jun 11, 2024

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1669214516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19404 PROSPECT POINT CT",
            "city": "BROOKEVILLE",
            "state": "MD",
            "postal_code": "208332246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7474 GREENWAY CENTER DR STE 200",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703524",
            "telephone_number": "240-304-3327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Brookes Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208772799",
            "country_code": "US",
            "telephone_number": "301-500-0253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHURE",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LGP15170",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP15170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soyoung Shin, DMD
• Basirat Olabisi Shittu
• Suliat Subuola Shittu
• Aleksandr Shklyar, D.D.S.
• Sabriena Mariah Shubert, LMSW
• Siamack Bahrami, MD PA
• Duane A Sibilly, CSA
• Natalie Nicole Sidbury
• Glenna Siewe
• Natalia M Silva, DDS

• Mental Health Counselor in Greenbelt, MD
• Providers in Greenbelt, 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 Jul 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.