Individual provider Active NPI

Shardell I Viatonu, LCPC

  • Professional Counselor
  • Hyattsville, MD
National Provider Identifier
1982077566
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC7979 Issued in MD
Practice address
6495 New Hampshire Ave # A303
Hyattsville, MD 20783-3245
Phone
(240) 432-8352
NPI assigned
Nov 4, 2015
Last updated
Jul 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
502121900MedicaidMD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260304000018 MD Practitioner - Mental Health Counselor 2264914886 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
LC7979MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Journey of Hope, LLC Professional CurrentSince Feb 18, 2026 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

Verify at the official NPI Registry.