| Shantisse Mason, LCPC | |
|
1401 S Edgewood St Ste 100, Halethorpe, MD 21227-1145 | |
| (410) 275-0928 | |
| Not Available |
| Full Name | Shantisse Mason |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 10 Years |
| Location | 1401 S Edgewood St Ste 100, Halethorpe, Maryland |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881040582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LC7013 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Salus Health Inc. | 8123436540 | 11 |
| Entity Name | Salus Health Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285244004 PECOS PAC ID: 8123436540 Enrollment ID: O20210422002298 |
| Mailing Address | Practice Location Address |
|---|---|
| Shantisse Mason, LCPC Po Box 2531, Ellicott City, MD 21041-2531 Ph: (410) 275-0928 | Shantisse Mason, LCPC 1401 S Edgewood St Ste 100, Halethorpe, MD 21227-1145 Ph: (410) 275-0928 |
Crystal Sharrell Dorsey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2700 Washington Ave, Halethorpe, MD 21227 Phone: 667-600-3900 | |
Nikolay N Sergeevykh, LCPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 809 Francis Ave, Halethorpe, MD 21227 Phone: 443-869-6512 | |
Miss Ashley Bernice Banks, LCPC15143 Counselor Medicare: Not Enrolled in Medicare Practice Location: 1421 S Caton Ave, Halethorpe, MD 21227 Phone: 443-625-7892 | |
Matthew Beckwith, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1813 Main St, Halethorpe, MD 21227 Phone: 315-289-7545 | |
Theresa Marie Shedleski, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 2700 Washington Ave, Halethorpe, MD 21227 Phone: 667-600-3984 Fax: 667-600-4065 | |
Mr. Michael Towers, CAC-AD Counselor Medicare: Not Enrolled in Medicare Practice Location: 3203 Hilltop Ave, Halethorpe, MD 21227 Phone: 443-540-5109 | |
Ms. Elizabeth Venenga, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2700 Washington Ave, Halethorpe, MD 21227 Phone: 667-600-2272 Fax: 667-600-4065 |