SHANAN SPENCER (NPI# 1760648836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760648836 |
| Entity Type | Individual |
| Full Name | SHANAN SPENCER |
| Credential | LCPC |
| Practice Address |
150 Park Ave Frostburg MD 21532-2218 |
| Mailing Address |
1180 Professional Ct Hagerstown MD 21740-5852 |
| Practice Telephone | 3016895034 |
| Practice Fax Number | 3016895036 |
| Mailing Telephone | 3017913045 |
| Mailing Fax Number | 2403133071 |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2008-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LC2763 | MD | Behavioral Health & Social Service Providers |
| Street Address |
150 PARK AVE |
| City | FROSTBURG |
| State | MD |
| Zip Code | 21532-2218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750500328 | The Mental Health Center of Western Maryland, Inc. | Community/Behavioral Health | 150 Park Ave, Frostburg, MD 21532-2218 | 2007-04-24 |
| 1134348709 | The Mental Health Center of Western Maryland, Inc. | Community/Behavioral Health | 150 Park Ave, Frostburg, MD 21532-2218 | 2007-04-24 |
| 1891912507 | The Mental Health Center of Western Maryland, Inc. | Counselor | 150 Park Ave, Frostburg, MD 21532-2218 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740709732 | Kennedy Alxya Logsdon | Specialist/Technologist | 100 Dr. Gasmick Lane, Frostburg, MD 21532 | 2017-09-12 |
| 1699130419 | Jessica Bittinger | Occupational Therapy Assistant | 1 Kaylor Circle, Frostburg, MD 21532 | 2015-12-21 |
| 1689013138 | Kevin R Simonson | Psychologist | 101 Braddock Rd Frostburg State University, 101 Sand Spring Hall, Frostburg, MD 21532 | 2013-06-18 |
| 1114266897 | Tara Renee Robison | Physical Therapy Assistant | One Kaylor Circle, Frostburg, MD 21532 | 2013-01-31 |
| 1821133703 | Diane D Romaine | Dentist | 151 Bishop Murphy Drive, Frostburg, MD 21532 | 2007-02-20 |
| 1932669231 | Jennifer Lou Anto | Nurse Practitioner | 101 Braddock Rd, Frostburg, MD 21532 | 2019-03-22 |
| 1659610186 | Shanalyn Michelle Reighard | Physical Therapy Assistant | One Kaylor Circle, Frostburg, MD 21532 | 2013-02-04 |
| 1639407133 | Suanne Marie Lewis | Psychologist | 420 Crestview Dr, Frostburg, MD 21532-1100 | 2009-11-23 |
| 1265499016 | Western Maryland Health System Corporation | Skilled Nursing Facility | 48 Tarn Ter, Frostburg, MD 21532-1217 | 2006-04-26 |
| 1669545810 | Dean Andrew Mulcaster | Physical Therapy Assistant | 48 Tarn Ter, Frostburg, MD 21532-1217 | 2006-11-16 |
| Find all providers in zip 21532 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912257270 | Margaret Jane Downey | Counselor | 332 Braddock St, Apt. 420, Frostburg, MD 21532-2316 | 2012-09-14 |
| 1891912507 | The Mental Health Center of Western Maryland, Inc. | Counselor | 150 Park Ave, Frostburg, MD 21532-2218 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780412 | Christina Johnson | Counselor | 5532 Dartmouth St, Churchton, MD 20733-9615 | 2020-11-08 |
| 1780285023 | Wendy L Gill | Counselor | 2714 Egret Way, Frederick, MD 21701-1912 | 2020-11-03 |
| 1609476399 | Sarah Elaine Rybak | Counselor | 6517 Shenandoah Dr, Eldersburg, MD 21784-8220 | 2020-10-30 |
| 1043810872 | Jessica Ann Piazza | Counselor | 5004 Honeygo Center Dr Ste 102-259, Perry Hall, MD 21128-8963 | 2020-10-30 |
| 1992305205 | Jacqueline Justiniano Myers | Counselor | 7161 Columbia Gateway Dr Ste D, Columbia, MD 21046-2617 | 2020-10-27 |
| 1821698242 | Pride of Nyla, LLC | Counselor | 5557 Baltimore Ave Ste 500-1265, Hyattsville, MD 20781-1922 | 2020-10-26 |
| 1407453939 | Marissa Block LLC | Counselor | 541 Allegheny Ave, Towson, MD 21204-4233 | 2020-10-07 |
| 1770180838 | Legacy Family Services, LLC | Counselor | 11415 Old Pond Dr, Glenn Dale, MD 20769-9154 | 2020-10-01 |
| 1679170724 | Joseph E Bullock Jr. | Counselor | 8757 Thornbrook Dr, Odenton, MD 21113-3409 | 2020-10-01 |
| 1073120549 | Jacquean Lynette Kosh | Counselor | 711 Harry S Truman Dr Apt 210, Largo, MD 20774-2095 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
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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.