Active NPI
Shardell I Viatonu, LCPC
- Professional Counselor
- Hyattsville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC7979
- Practice address
- 6495 New Hampshire Ave # A303
Hyattsville, MD 20783-3245 - Phone
- (240) 432-8352
- NPI assigned
- Nov 4, 2015
- Last updated
- Jul 25, 2024
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC7979 | MD | Primary |
Addresses
Primary practice location
6495 New Hampshire Ave # A303
Hyattsville, MD 20783-3245
Mailing address
8111 Bethel LN
Savage, MD 20763-5548
Phone (240) 432-8352
Other practice location 1
7812 Hanover Pkwy
Apartment 103
Greenbelt, MD 20770-2614
Phone (240) 432-8352
Other practice location 2
9225 Traders Xing Apt L
Laurel, MD 20723-1627
Phone (240) 432-8352
Other practice location 3
8111 Bethel Ln
Savage, MD 20763-5548
Phone (240) 432-8352
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 502121900 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Savage, MD 20763
Phone (240) 432-8352
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC7979 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Journey of Hope, LLC | Professional | Current | Accepting new patients |
Locations
6495 New Hampshire Ave
Ste A303
Hyattsville, MD 20783
Phone (240) 667-2357
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1982077566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8111 BETHEL LN",
"city": "SAVAGE",
"state": "MD",
"postal_code": "207635548",
"telephone_number": "240-432-8352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6495 NEW HAMPSHIRE AVE # A303",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207833245",
"telephone_number": "240-432-8352"
}
],
"practiceLocations": [
{
"address_1": "7812 Hanover Pkwy",
"address_2": "Apartment 103",
"address_purpose": "LOCATION",
"city": "Greenbelt",
"state": "MD",
"postal_code": "207702614",
"country_code": "US",
"telephone_number": "240-432-8352",
"fax_number": "301-614-0923",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9225 Traders Xing Apt L",
"address_purpose": "LOCATION",
"city": "Laurel",
"state": "MD",
"postal_code": "207231627",
"country_code": "US",
"telephone_number": "240-432-8352",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8111 Bethel Ln",
"address_purpose": "LOCATION",
"city": "Savage",
"state": "MD",
"postal_code": "207635548",
"country_code": "US",
"telephone_number": "240-432-8352",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VIATONU",
"first_name": "SHARDELL",
"middle_name": "I",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-04",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC7979",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "502121900",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hyattsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.