Shari Modlin, L.C.P.C

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC5367 Issued in MD

Practice address

2607 Woodedge Rd
Silver Spring, MD 20906-5327

Phone

(443) 699-0003

NPI assigned

Nov 7, 2013

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

Enrolled in WV

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

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 and National Provider Directory roles.

• Be Well Kinda Place LLC

  • Clinical Social Worker
  • Ronceverte, WV
  • NPI 1740924240

  Mental Health, WV

  Medicare reassignment NPD
• Rainelle Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Meadow Bridge, WV
  • NPI 1093883324

  WV

  Medicare reassignment NPD
• Rainelle Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Caldwell, WV
  • NPI 1578399085

  Mental Health, WV

  Medicare reassignment NPD
• Rainelle Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Hinton, WV
  • NPI 1285303156
  NPD
• Rainelle Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Rainelle, WV
  • NPI 1437227766
  NPD
• Rainelle Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Rupert, WV
  • NPI 1811081821
  NPD
• Rainelle Medical Center, Inc

  • Nephrology Physician
  • Covington, VA
  • NPI 1174132153
  NPD
• Rainelle Medical Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Lewisburg, WV
  • NPI 1265068001

  Mental Health

  NPD
• Rainelle Medical Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Lewisburg, WV
  • NPI 1265101273
  NPD
• Rainelle Medical Center, Inc

  • Specialist
  • Lewisburg, WV
  • NPI 1437772225
  NPD
• Rainelle Medical Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Lewisburg, WV
  • NPI 1679223390
  NPD
• Rainelle Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • White Sulphur Springs, WV
  • NPI 1093165722
  NPD

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1770912917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 WOODEDGE RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209065327",
            "telephone_number": "443-699-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 WOODEDGE RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209065327",
            "telephone_number": "443-699-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODLIN",
        "first_name": "SHARI",
        "credential": "L.C.P.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC5367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Mobley, LCPC
• Motunrayo Mobolaji-Lawal, MD
• Gina Modera, MOT, OTR/L
• Sheela D Modin, M.D.
• Peter Modlin, LCPC
• Grace C Modozie
• Karol Moen, R.D.
• Marzieh Mofarrahi, FNP
• Lynne Meryl Mofenson, MD
• Pascaline Ngie Moffor

• All providers in Silver Spring, MD
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.