Shasta Dennine Taylor, LCPC, LCADC, NCC
NPI 1629746144ActiveIndividual· Counselor, Professional· Princess Anne, MD
Counselor, Professional (LCPC, LCADC, NCC) in Princess Anne, Maryland, licensed in MD, with an NPI issued in August 2021.
Overview
| NPI | 1629746144 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCPC, LCADC, NCC |
| Sole proprietor | Yes |
| NPI issued | Aug 31, 2021 |
| Last updated in NPPES | Aug 31, 2021 |
| Certified by provider | Aug 31, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | LC8064 | MD |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | LCA2707 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Counselor, Professional providers in Princess Anne
- 1487387569
- 1164628160
- 1144707100
- 1184998932
- 1487038634
- 1144581463
- 1689047052
- 1447581038