Shannon Moore
NPI 1912439001ActiveIndividual· Counselor, Professional· Rosedale, MD
Counselor, Professional in Rosedale, Maryland, licensed in MD, with an NPI issued in March 2017. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1912439001 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Mar 29, 2017 |
| Last updated in NPPES | Sep 15, 2025 |
| Certified by provider | Sep 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 16339 | MD |
| Rehabilitation Practitioner | 225400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (MD) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Mental Health Counselor |
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