Mary Ellen Shea LCPC LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MARY ELLEN SHEA LCPC LLC

Practice address

23 E Patrick St Ste 300
Frederick, MD 21701-6162

Phone

(240) 357-5410

NPI assigned

Jul 7, 2025

Organization subpart

Yes

Parent organization

MARY ELLEN SHEA BRYNE LCPCAs reported in NPPES

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

Authorized official

Name

Mary Shea

Title

Owner

Phone

(240) 357-5410

Specialties & licenses 1

Addresses

Other names 1

• MARY ELLEN SHEA BRYNE LCPC Other name

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Ellen Shea

  • Mental Health Counselor
  • Frederick, MD
  • NPI 1700363173
  NPD

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1932099405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7309 BEECHTREE DR",
            "city": "MIDDLETOWN",
            "state": "MD",
            "postal_code": "217697604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 E PATRICK ST STE 300",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016162",
            "telephone_number": "240-357-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ELLEN SHEA LCPC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARY ELLEN SHEA BRYNE LCPC",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-07",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-357-5410"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARY ELLEN SHEA BRYNE LCPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Mental Health Counselor in Frederick, MD
• Providers in Frederick, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.