Tahmineh Ann Shadkhoo, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC5904 Issued in MD

Practice address

5570 Sterrett PL
Columbia, MD 21044-2641

Phone

(443) 203-9838

NPI assigned

Feb 23, 2018

Last updated

Aug 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cordillera Counseling Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbia, MD
  • NPI 1700569779
  NPD Authorized official

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1902307051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2931 E BIDDLE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212133939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5570 STERRETT PL",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442641",
            "telephone_number": "443-203-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADKHOO",
        "first_name": "TAHMINEH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC5904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zewdnesh Seyoum, MD
• Rawan Shaat
• Cleo Shackelford, RBT
• Jessica Shackman, M.D.
• Shadi Ghozati D.D.S. PA (Columbia Gateway Dentistry)
• Amanda Louise Shafer, MSN, CRNP, FNP-C
• Jawedullah Shafiq
• Deepak A. Shah, MD
• Deshna Shah
• Palak Parikh Shah, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.