Shanntel Monique Gladney, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC5034 Issued in MD

Practice address

4425 Fitch Ave
Nottingham, MD 21236-3927

Phone

(443) 622-8755

Fax

(410) 871-8120

NPI assigned

Jun 15, 2013

Last updated

Dec 10, 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

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

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.

• Phaze Counseling Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Nottingham, MD
  • NPI 1447861174
  Medicare reassignment NPD Authorized official
• Phaze Counseling Services Inc

  • Rehabilitation Clinic/Center
  • Nottingham, MD
  • NPI 1427669159
  NPD Authorized official
• Shanntel Counseling, LLC

  • Mental Health Counselor
  • Essex, MD
  • NPI 1730942657
  NPD Authorized official
• Phaze Counseling Services Inc

  • Community/Behavioral Health Agency
  • Nottingham, MD
  • NPI 1174397939
  NPD (past) Authorized official
• Phaze Counseling Services Inc

  • Rehabilitation Clinic/Center
  • Nottingham, MD
  • NPI 1629842141
  NPD (past) Authorized official

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

{
    "created_epoch": "1371254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1821437559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015920",
            "telephone_number": "443-388-9654",
            "fax_number": "443-388-9367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 FITCH AVE",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212363927",
            "telephone_number": "443-622-8755",
            "fax_number": "410-871-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLADNEY",
        "first_name": "SHANNTEL",
        "middle_name": "MONIQUE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-15",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC5034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique T Gibbs
• Melissa Susana Gilardi
• Ellen Gilbert, INTERN
• Bridgette Giordano, LMSW
• Briona Giraldo
• Emily Marie Glaudemans
• Baruch Glazer, LMSW
• Glenmore Specialty Pharmacy Inc (Glenmore Specialty Pharmacy)
• Glow Dental, LLC (Glow Dental)
• Jordan Goedeke

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.