Victoria Shequine, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC1004 Issued in MD

Practice address

5457 Twin Knolls Rd
Suite 310
Columbia, MD 21045-3259

Phone

(410) 997-0304

NPI assigned

Jul 10, 2006

Sex

Female

Sole proprietor

No

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

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

Specialty

Mental Health Counselor

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cedar Ridge Counseling Centers, LLCGroup PAC ID 4981649738, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Cedar Ridge Counseling Centers LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Eldersburg, MD
  • NPI 1932103926
  Medicare reassignment Care Compare group
• Alternative Counseling & Wellness Center, LLC

  • Mental Health Counselor
  • Towson, MD
  • NPI 1164689576
  NPD (past) Authorized official
• Hopeworks of Howard County Inc

  • Community/Behavioral Health Agency
  • Columbia, MD
  • NPI 1447485289
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700810769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 APPLEBY AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5457 TWIN KNOLLS RD",
            "address_2": "SUITE 310",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453259",
            "telephone_number": "410-997-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEQUINE",
        "first_name": "VICTORIA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC1004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jazzmen Shepherd
• Mark Harrison Shepherd, DPT
• Jill Sheppard Davenport, MS, MPP, LN, LDN,CNS
• Judy Sheppard, LCPC
• Zev Jason Sheppard, LMSW
• Anna Maureen Sheridan
• Oumie Mariam Sherif
• Iris Sheriff
• Adam B. Sherman, PA-C
• Patricia Sherry

• Professional Counselor in Columbia, MD
• Providers in Columbia, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.