Individual provider Active NPI

Shamara Quinonez

  • Mental Health Counselor
  • Germantown, MD
National Provider Identifier
1821672171
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
25804 Issued in MD
Practice address
12410 Milestone Center Dr Ste 600
Germantown, MD 20876-7102
Phone
(240) 499-2839
NPI assigned
May 11, 2021
Last updated
May 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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 25804 MD Primary

Addresses

Primary practice location

12410 Milestone Center Dr Ste 600
Germantown, MD 20876-7102

Mailing address

22505 Gateway Center Dr Unit 330
Clarksburg, MD 20871-7515
Phone (240) 482-5703

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Germantown

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25804MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Therapeutic Services LLC Mental Health Current Accepting new patients
Beyond Healing Counseling & Consultation, LLC Mental Health PastSince May 16, 2021 Accepting new patients
Lifespan Behavioral Health Services PC Past Accepting new patients

Organizations & group practices 3

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": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1821672171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22505 GATEWAY CENTER DR UNIT 330",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208717515",
            "telephone_number": "240-482-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12410 MILESTONE CENTER DR STE 600",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208767102",
            "telephone_number": "240-499-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONEZ",
        "first_name": "SHAMARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "25804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Germantown",
            "affiliation": "N",
            "endpointDescription": "ehr",
            "address_1": "12410 Milestone Center Dr Ste 600",
            "city": "Germantown",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208767102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

Verify at the official NPI Registry.