Individual provider Active NPI

Shira Concool, LCPC, NCC

  • Professional Counselor
  • Towson, MD
National Provider Identifier
1669906350
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC7550 Issued in MD
Practice address
608 Bosley Ave
Towson, MD 21204-4029
Phone
(443) 451-5122
NPI assigned
Apr 19, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

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

State licenses

LicenseStateTypeSpecialty
LC7550MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heather Z. Lyons, Licensed Psychologist, LLC Past Accepting new patients

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC7550 MD Primary

Addresses

Primary practice location

608 Bosley Ave
Towson, MD 21204-4029

Mailing address

608 Bosley Ave
Towson, MD 21204-4029

NPI Registry JSON

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1669906350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 BOSLEY AVE",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 BOSLEY AVE",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044029",
            "telephone_number": "443-451-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCOOL",
        "first_name": "SHIRA",
        "credential": "LCPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC7550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.