Active NPI
Shyrielane Watson
- Mental Health Counselor
- Bel Air, MD
National Provider Identifier
1891907689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LC2371
- Practice address
- 2227 Old Emmorton Road
Suite 119
Bel Air, MD 21015 - Phone
- (410) 893-4600
- Fax
- (410) 569-0094
- NPI assigned
- May 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LC2371 | MD | Primary |
Addresses
Primary practice location
2227 Old Emmorton Road
Suite 119
Bel Air, MD 21015
Mailing address
2227 Old Emmorton Road
Suite 119
Bel Air, MD 21015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC2371 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891907689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2227 OLD EMMORTON ROAD",
"address_2": "SUITE 119",
"city": "BEL AIR",
"state": "MD",
"postal_code": "21015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2227 OLD EMMORTON ROAD",
"address_2": "SUITE 119",
"city": "BEL AIR",
"state": "MD",
"postal_code": "21015",
"telephone_number": "410-893-4600",
"fax_number": "410-569-0094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "SHYRIELANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LC2371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.