Shannon O'Brien Holmes, LCMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LCM885 Issued in MD

Practice address

29626 Old Creek LN
Easton, MD 21601-7929

Phone

(301) 331-1664

NPI assigned

Jul 12, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 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

Specialty

Marriage and Family Therapist

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Senior Care Therapy LCSW of Maryland LLCGroup PAC ID 5597174797, 13 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.

• Senior Care Therapy LCSW of Maryland LLC

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1912500463

  DC, Marriage & Family Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702166400000",
    "number": "1891271979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29626 OLD CREEK LN",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216017929",
            "telephone_number": "301-331-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29626 OLD CREEK LN",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216017929",
            "telephone_number": "301-331-1664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9100 Cool Hollow Ter",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217408949",
            "country_code": "US",
            "telephone_number": "301-331-1664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1003 W 7th St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217018512",
            "country_code": "US",
            "telephone_number": "301-345-1022",
            "fax_number": "301-560-5558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1815 Bird Run",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217021643",
            "country_code": "US",
            "telephone_number": "240-397-1572",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "322 E Antietam St Ste 307A",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217405750",
            "country_code": "US",
            "telephone_number": "240-513-6127",
            "fax_number": "240-306-1577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 E Pratt St Fl 8",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21202",
            "country_code": "US",
            "telephone_number": "855-832-6727",
            "fax_number": "772-671-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "SHANNON",
        "middle_name": "O'BRIEN",
        "name_prefix": "Mrs.",
        "credential": "LCMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-12",
        "last_updated": "2023-12-10",
        "certification_date": "2023-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MD",
            "license": "RBT-18-56967",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MD",
            "license": "LCM885",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MD",
            "license": "LGM774",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Joelle Hoetzel, CRNP
• Lauren Kirby Hoffman
• Elaine L Holdridge, LCADC
• Karen Elizabeth Hollis, RD,LDN,CDE
• Jennifer Anne Hollywood, MD
• Alvan Miller Holston Jr., D.D.S.
• Homecall, LLC (HomeCall)
• Cassie Hooper, DPT
• Sarah Hopkins
• Gayle Ann Hopper, MD

• Marriage & Family Therapist in Easton, MD
• Providers in Easton, MD by specialty
• Marriage & Family Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2023; 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.