Active NPI
Shelby Schestag
- Professional Counselor
- Towson, MD
National Provider Identifier
1912315920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC4451
- Practice address
- 120 Sister Pierre Dr
Towson, MD 21204-7516 - Phone
- (410) 337-9441
- NPI assigned
- Jul 23, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | AC2029 | MD | |
| Professional Counselor | 101YP2500X | LC4451 | MD | Primary |
Addresses
Primary practice location
120 Sister Pierre Dr
Towson, MD 21204-7516
Mailing address
120 Sister Pierre Dr
Towson, MD 21204-7516
Phone (410) 337-9441
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 |
|---|---|---|---|
| AC2029 | MD | MD | Addiction (Substance Use Disorder) Counselor |
| LC4451 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406073600000",
"number": "1912315920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 SISTER PIERRE DR",
"city": "TOWSON",
"state": "MD",
"postal_code": "212047516",
"telephone_number": "410-337-9441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 SISTER PIERRE DR",
"city": "TOWSON",
"state": "MD",
"postal_code": "212047516",
"telephone_number": "410-337-9441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHESTAG",
"first_name": "SHELBY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-23",
"last_updated": "2014-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MD",
"license": "AC2029",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC4451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.