Individual provider Active NPI

Shalia Seibles, LGPC

  • Mental Health Counselor
  • Pasadena, MD
National Provider Identifier
1801668025
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LGP14486 Issued in MD
Practice address
8131 Ritchie Hwy Ste F
Pasadena, MD 21122-6940
Phone
(410) 777-3031
NPI assigned
Oct 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LGP14486 MD Primary

Addresses

Primary practice location

8131 Ritchie Hwy Ste F
Pasadena, MD 21122-6940

Mailing address

8131 Ritchie Hwy Ste F
Pasadena, MD 21122-6940
Phone (443) 962-8873

Other practice location 1

1212 N Wolfe St
Baltimore, MD 21213-3303
Phone (410) 276-2123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LGP14486MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Region Counseling LLC CurrentSince Jan 3, 2024 Accepting new patients

Locations

8131 Ritchie Hwy
Ste F
Pasadena, MD 21122
Phone (410) 777-3031

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1801668025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8131 RITCHIE HWY STE F",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211226940",
            "telephone_number": "443-962-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8131 RITCHIE HWY STE F",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211226940",
            "telephone_number": "410-777-3031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1212 N Wolfe St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212133303",
            "country_code": "US",
            "telephone_number": "410-276-2123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEIBLES",
        "first_name": "SHALIA",
        "credential": "LGPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP14486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.