Shantisse Mason, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC7013 Issued in MD

Practice address

1401 S Edgewood St Ste 100
Halethorpe, MD 21227-1145

Phone

(410) 275-0928

NPI assigned

May 11, 2016

Sex

Female

Sole proprietor

No

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

Specialty

Mental Health Counselor

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Salus Health Inc.Group PAC ID 8123436540, 13 clinicians

Resolution Health and Wellness CenterGroup PAC ID 4284081498, 5 clinicians

Practice addresses (Care Compare)

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.

• Resolution Health and Wellness Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Halethorpe, MD
  • NPI 1952037517
  Medicare reassignment Care Compare group NPD
• Salus Health Inc

  • Nurse Practitioner
  • Baltimore, MD
  • NPI 1285244004
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1881040582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2531",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210412531",
            "telephone_number": "410-275-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S EDGEWOOD ST STE 100",
            "city": "HALETHORPE",
            "state": "MD",
            "postal_code": "212271145",
            "telephone_number": "410-275-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "SHANTISSE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-11",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC7013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica M Maizel, PMHNP-BC
• Asha Manohar, M.D.
• Elizabeth Castillo Marshall, M.D.
• Sandra M Martin, RD LDN
• Maryland Sportscare & Rehab, LLC (Pivot Physical Therapy)
• Pamela Lewis Matia, M.D.
• Maximum Medical, Inc.
• Eugenie Mbongwoh
• Christopher Michael McGinn, MD
• Fiona F Meller Azrieli, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.