Individual provider Active NPI

Siri Shaw, LCPC

  • Professional Counselor
  • Woodstock, MD
National Provider Identifier
1700054392
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC0187 Issued in MD
Practice address
1847 Davis Branch Rd
Woodstock, MD 21163-1528
Phone
(410) 913-1678
NPI assigned
Feb 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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 LC0187 MD Primary

Addresses

Primary practice location

1847 Davis Branch Rd
Woodstock, MD 21163-1528

Mailing address

1847 Davis Branch Rd
Woodstock, MD 21163-1528
Phone (410) 913-1678

Other practice location 1

5550 Sterrett Pl Ste 200
Columbia, MD 21044-2626
Phone (410) 884-6031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260223002825 MD Practitioner - Mental Health Counselor 5294030730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Focused Solutions LLCGroup PAC ID 6608043849, 18 clinicians

Practice addresses (Care Compare)

5550 Sterrett PL
Suite 200
Columbia, MD 21044-2626
Phone (410) 884-6031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC0187MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Focused Solutions, LLC CurrentSince Jan 11, 2026 Accepting new patients
Alliance Inc Past Accepting new patients
Alliance Inc Past Accepting new patients

Locations

5550 Sterrett Pl
Ste 200
Columbia, MD 21044
Phone (410) 884-6031

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1700054392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1847 DAVIS BRANCH RD",
            "city": "WOODSTOCK",
            "state": "MD",
            "postal_code": "211631528",
            "telephone_number": "410-913-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1847 DAVIS BRANCH RD",
            "city": "WOODSTOCK",
            "state": "MD",
            "postal_code": "211631528",
            "telephone_number": "410-913-1678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5550 Sterrett Pl Ste 200",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210442626",
            "country_code": "US",
            "telephone_number": "410-884-6031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "SIRI",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-15",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC0187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, MD

Sources for this page

Verify at the official NPI Registry.