SHANNON EDMISTON LCPC NPI 1508278979

NPI Information

  • NPI: 1508278979
  • Provider Name: SHANNON EDMISTON, LCPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 5820 YORK RD
    T300
    BALTIMORE, MD
    ZIP 21212
  • Phone: (410) 989-3899

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NPI Details

Shannon Edmiston, LCPC is a professional counselor in Baltimore, MD. Shannon Edmiston, LCPC NPI is 1508278979. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5820 YORK RD
T300
BALTIMORE, MD
ZIP 21212-610
Phone: (410) 989-3899
Fax: (410) 777-8742

The enumeration date for this NPI number is 5/20/2014 and was last updated on 5/20/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalLC5373MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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