Bobbi Lee Short, L.C.P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC2053 Issued in MD

Practice address

11 W 3Rd St
Frederick, MD 21701-5330

Phone

(410) 419-9517

Fax

(800) 725-4214

NPI assigned

Jul 10, 2007

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

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": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1669670600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5717 CHASE CT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217032821",
            "telephone_number": "410-419-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 W 3RD ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015330",
            "telephone_number": "410-419-9517",
            "fax_number": "800-725-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "BOBBI",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC2053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND MEDICAL ASSISTAN",
            "identifier": "4118146-00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Te'Andra Shockley, LCSW-C
• Caitlin Erin Shoemaker, L.AC., M.AC.
• Lisa J Shoff, DMD
• Melanie Sholtis, PSY D
• Adedoyin Shonekan, M.D.
• Amanda Showe, LCSW-C
• Harsana Showunmi, CPNP-PC
• Nilima Shrestha, NP-C
• Claire Miclat Shults, DDS, MSD
• Lynne Shuman, SPEECH THERAPIST

• Mental Health Counselor in Frederick, MD
• Providers in Frederick, 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 Feb 22, 2012; 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.