Organization Active NPI

Shawntay Fenyo, LLC

  • Mental Health Counselor
  • Henderson, NC
National Provider Identifier
1770101461
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SHAWNTAY FENYO, LLC
Practice address
1212 Flemingtown Rd
Henderson, NC 27537-3226
Phone
(443) 962-2479
NPI assigned
Jul 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Shawntay Fenyo, LCPC
Title
President/Owner
Phone
(443) 962-2479

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1212 Flemingtown Rd
Henderson, NC 27537-3226

Mailing address

7310 Ritchie Hwy
Suite 200 #1008
Glen Burnie, MD 21061
Phone (443) 962-2479

Other practice location 1

1177 Annapolis Rd Unit 118
Odenton, MD 21113-7505
Phone (443) 962-2479

Other names 1

  • Serenity Counseling and Consulting Doing business as

National Provider Directory

National Provider Directory

Locations

1177 Annapolis Rd
Unit 118
Odenton, MD 21113
Phone (443) 962-2479

NPI Registry JSON

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1770101461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7310 RITCHIE HWY",
            "address_2": "SUITE 200 #1008",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "21061",
            "telephone_number": "443-962-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 FLEMINGTOWN RD",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275373226",
            "telephone_number": "443-962-2479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1177 Annapolis Rd Unit 118",
            "address_purpose": "LOCATION",
            "city": "Odenton",
            "state": "MD",
            "postal_code": "211137505",
            "country_code": "US",
            "telephone_number": "443-962-2479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHAWNTAY FENYO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-08",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "FENYO",
        "authorized_official_first_name": "SHAWNTAY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "443-962-2479",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Counseling and Consulting",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Serenity Counseling and Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.