Mary Ellen Shea

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC7836 Issued in MD

Practice address

23 E Patrick St Ste 300
Frederick, MD 21701-6162

Phone

(240) 357-5410

NPI assigned

Jul 27, 2018

Last updated

Nov 19, 2024By the provider in NPPES

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

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mary Ellen Shea LCPC LLC

  • Mental Health Counselor
  • Frederick, MD
  • NPI 1932099405
  NPD

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1700363173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7309 BEECHTREE DR",
            "city": "MIDDLETOWN",
            "state": "MD",
            "postal_code": "217697604",
            "telephone_number": "240-357-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 E PATRICK ST STE 300",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016162",
            "telephone_number": "240-357-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "MARY ELLEN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC7836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany L Shaw, LCSW-C
• Eric Vaughn Shawl, PHYSICAL THERAPIST
• Michelle B Shay, LCSW
• Preston Kevin Shay
• Jessica Shea
• Ronda K Sheaffer
• Bradley Shearer, LCPC
• Mary Bernadette Sheehy, MSN, CRNP
• Brittany Nicole Sheets, MSW
• Richard Shegogue, O.T.R./L, CHT

• 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 Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.