Active NPI
Itselda Maria Shand-Gaines, LPC, LCPC
- Professional Counselor
- Washinton, DC
National Provider Identifier
1992136592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PRC14308
- Practice address
- 1629 K St, NW
Washinton, DC 20006 - Phone
- (202) 835-0680
- NPI assigned
- Dec 6, 2013
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PRC14308 | DC | Primary |
| Professional Counselor | 101YP2500X | LC5385 | MD |
Addresses
Primary practice location
1629 K St, NW
Washinton, DC 20006
Mailing address
15600 Taylerton LN
Brandywine, MD 20613-3812
Phone (301) 922-7525
Other practice location 1
10665 Stanhaven Pl Ste 300A
White Plains, MD 20695-3069
Phone (202) 630-2796
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LC5385 | Other | MD | STATE LICENSE |
| PRC14308 | Other | DC | DISTRICT OF COLUMBIA LICENSE |
Other names 1
- Ms. Itselda Shand
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 |
|---|---|---|---|
| PRC14308 | DC | MD | Professional Counselor |
| LC5385 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593648000000",
"number": "1992136592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15600 TAYLERTON LN",
"city": "BRANDYWINE",
"state": "MD",
"postal_code": "206133812",
"telephone_number": "301-922-7525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1629 K ST, NW",
"city": "WASHINTON",
"state": "DC",
"postal_code": "20006",
"telephone_number": "202-835-0680"
}
],
"practiceLocations": [
{
"address_1": "10665 Stanhaven Pl Ste 300A",
"address_purpose": "LOCATION",
"city": "White Plains",
"state": "MD",
"postal_code": "206953069",
"country_code": "US",
"telephone_number": "202-630-2796",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAND-GAINES",
"first_name": "ITSELDA",
"middle_name": "MARIA",
"name_prefix": "Mrs.",
"credential": "LPC, LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-06",
"last_updated": "2020-07-02",
"certification_date": "2020-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "DC",
"license": "PRC14308",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC5385",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "LC5385",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DISTRICT OF COLUMBIA LICENSE",
"identifier": "PRC14308",
"state": "DC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ITSELDA",
"last_name": "SHAND",
"prefix": "MS.",
"credential": "LPC, LCPC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Washinton, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.