Individual provider Active NPI

Kimberly Shalenko

  • Mental Health Counselor
  • Parkville, MD
National Provider Identifier
1861852055
Registry record updated Aug 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
8109 Harford Rd Ste B
Parkville, MD 21234-9205
Phone
(717) 632-4900
NPI assigned
Mar 1, 2016
Last updated
Aug 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X

Addresses

Primary practice location

8109 Harford Rd Ste B
Parkville, MD 21234-9205

Mailing address

8109 Harford Rd Ste B
Parkville, MD 21234-9205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240804000026 MD Practitioner - Mental Health Counselor 5294272530 Reassigns benefits to 1 organization
I20241218003964 CO Practitioner - Mental Health Counselor 5294272530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rosies Recovery Center LLCGroup PAC ID 5597147405, 3 clinicians

Practice addresses (Care Compare)

8109 Harford Rd
Suite B
Parkville, MD 21234-9205
Phone (443) 539-3001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rosie's Recovery Center, LLC Current Accepting new patients
Allview Counseling Services LLC Addiction (Substance Use Disorder) Current Accepting new patients
Momentum Counseling and Consulting LLC CurrentSince Dec 1, 2024 Accepting new patients
Momentum Counseling and Consulting LLC Mental Health CurrentSince Dec 1, 2024 Accepting new patients
Rosie's Recovery Center, LLC CurrentSince May 6, 2024 Accepting new patients
Jban, LLC Mental Health Past Accepting new patients

Locations

2120 Milestone Dr
Ste 103
Fort Collins, CO 80525
Phone (719) 789-7041

8109 Harford Rd
Ste B
Parkville, MD 21234
Phone (410) 661-2132

Organizations & group practices 6

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": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723939200000",
    "number": "1861852055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8109 HARFORD RD STE B",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212349205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8109 HARFORD RD STE B",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212349205",
            "telephone_number": "717-632-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALENKO",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2024-08-18",
        "certification_date": "2024-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MD

Sources for this page

Verify at the official NPI Registry.