SHELLY MILLS MOHNKERN (NPI# 1649743105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649743105 |
| Entity Type | Individual |
| Full Name | SHELLY MILLS MOHNKERN |
| Practice Address |
20410 Observation Dr Ste 108 Germantown MD 20876-6419 |
| Practice Telephone | 2402966371 |
| Practice Fax Number | 3015284315 |
| Mailing Telephone | 2402966371 |
| Mailing Fax Number | 3015284315 |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2019-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LGP8841 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 327612SM1 | 05 |
| Street Address |
20410 OBSERVATION DR STE 108 |
| City | GERMANTOWN |
| State | MD |
| Zip Code | 20876-6419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770639924 | Isabel Martina Berman | Social Worker | 20410 Observation Dr Ste 108, Germantown, MD 20876-6419 | 2007-01-28 |
| 1518570423 | Kyla Goodman | Counselor | 20410 Observation Dr Ste 108, Germantown, MD 20876-6419 | 2020-08-28 |
| 1427668409 | Hayley Bannister | Counselor | 20410 Observation Dr Ste 108, Germantown, MD 20876-6419 | 2020-08-05 |
| 1508475591 | Megan Samuels | Student in an Organized Health Care Education/Training Program | 20410 Observation Dr Ste 108, Germantown, MD 20876-6419 | 2020-07-27 |
| 1649898206 | Marissa Goon | Counselor | 20410 Observation Dr Ste 108, Germantown, MD 20876-6419 | 2020-07-10 |
| 1053933796 | Diane Hammonds | Social Worker | 20410 Observation Dr Ste 108, Germantown, MD 20876-6419 | 2020-05-16 |
| 1821648411 | Terricea Jean | Counselor | 20410 Observation Dr Ste 108, Germantown, MD 20876-6419 | 2019-09-16 |
| 1023667656 | Shannon Marie Owen | Counselor | 20410 Observation Dr Ste 108, Germantown, MD 20876-6419 | 2019-09-06 |
| 1558919225 | Quayshauna Latreese Mckay | Counselor | 20410 Observation Dr Ste 108, Germantown, MD 20876-6419 | 2019-08-27 |
| 1699249771 | Lolita Ramsey | Counselor | 20410 Observation Dr Ste 108, Germantown, MD 20876-6419 | 2019-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285296913 | Mary Furda | Physician Assistant | 20680 Seneca Meadows Pkwy Ste 206, Germantown, MD 20876 | 2019-07-02 |
| 1003379819 | Pamela Denise Murphy | Counselor | 11480 Scenery Place, Germantown, MD 20876 | 2019-04-09 |
| 1629595061 | Teresa Francisco | Home Health Aide | 1 Yellow Leaf Ct, Germatown, MD 20876 | 2017-08-25 |
| 1679943559 | Aurora Equipment Supply | Durable Medical Equipment & Medical Supplies | 11712 Doxdam Terrace, Germantown, MD 20876 | 2015-10-05 |
| 1134500564 | The Blue Door Pharmacy, LLC | Pharmacy | 19851 Observation Drive, Germantown, MD 20876 | 2015-06-11 |
| 1730570003 | Smart Pain Surgery Center At Germantown, LLC | Clinic/Center | 19851 Observation Dr., Suite 350, Germantown, MD 20876 | 2015-02-09 |
| 1902296668 | Ci-wun Huang | Pharmacy Technician | 20908 Frederick Road, Germantown, MD 20876 | 2015-02-02 |
| 1184025322 | Robert Shirley | Physical Therapist | 20500 Seneca Meadows Parkway, Germantown, MD 20876 | 2014-09-08 |
| 1285067108 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 19851 Observation Dr, Suite 450, Germantown, MD 20876 | 2013-08-14 |
| 1639430200 | Sandrine Claire Mbouyo | Home Health Aide | 11102 Cedaiblugg Ln, Germantown, MD 20876 | 2012-05-31 |
| Find all providers in zip 20876 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548523731 | Lisa M Rainey | Counselor | 19530 Doctors Dr., Germantown, MD 20874-5200 | 2012-06-21 |
| 1518570423 | Kyla Goodman | Counselor | 20410 Observation Dr Ste 108, Germantown, MD 20876-6419 | 2020-08-28 |
| 1427668409 | Hayley Bannister | Counselor | 20410 Observation Dr Ste 108, Germantown, MD 20876-6419 | 2020-08-05 |
| 1912544925 | Courtland Alexander Vansant Pickett | Counselor | 2298 S Germantown Rd, Germantown, TN 38138-5962 | 2019-12-09 |
| 1821648411 | Terricea Jean | Counselor | 20410 Observation Dr Ste 108, Germantown, MD 20876-6419 | 2019-09-16 |
| 1316597271 | Faisal Tarakhail | Counselor | 12410 Milestone Center Dr Ste 600, Germantown, MD 20876-7102 | 2019-09-12 |
| 1790191351 | Grata Regina Victori Garcia-catipon | Counselor | 20300 Seneca Meadows Pkwy, # 215, Germantown, MD 20876-7010 | 2014-07-03 |
| 1669814927 | Cristin Paige Laird | Counselor | 2262 S Germantown Rd, Germantown, TN 38138-3805 | 2013-07-26 |
| 1710233069 | Sara Ann Rose | Counselor | 19530 Doctors Dr, Germantown, MD 20874-5200 | 2012-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104426519 | Elvis Sobo | Counselor | 4203 58th Ave Apt 7, Bladensburg, MD 20710-1911 | 2020-10-27 |
| 1285232066 | Philip B Terry-smith | Counselor | 8419 Shillelagh Dr, Severn, MD 21144-3141 | 2020-10-13 |
| 1861099863 | Paraklete Consulting, LLC | Counselor | 20870 Old York Rd, Parkton, MD 21120-9137 | 2020-10-03 |
| 1699381467 | Monique Gaston | Counselor | Well Life Counseling and Consulting, 9649 Belair Road, Ste. 104, Nottingham, MD 21236 | 2020-09-17 |
| 1003422023 | Cecelia A. Rubertone | Counselor | 9813 Gartrell Pl, Kensington, MD 20895-3743 | 2020-09-16 |
| 1003422072 | True Balance Counseling Collective | Counselor | 1602 Providence Rd, Towson, MD 21286-1525 | 2020-09-16 |
| 1104430453 | Rita Prisca Nzuwah | Counselor | 7628 S Arbory Ln, Laurel, MD 20707-5534 | 2020-09-03 |
| 1649883836 | Frances Newton Washington | Counselor | 8924 Loughran Rd, Fort Washington, MD 20744-6780 | 2020-08-26 |
| 1265044986 | Block Counseling and Personal Wellness Strategies LLC | Counselor | 3523 Piney Woods Pl Apt G101, Laurel, MD 20724-6019 | 2020-08-24 |
| 1568074482 | Julia Patricia Sanders | Counselor | 1302 Brockton Dr, Eldersburg, MD 21784-8846 | 2020-08-21 |
| Find all providers with the same taxonomy | ||||
| City | GERMANTOWN |
| Zip Code | 20876 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.