Individual provider

Shauna Moore Reynolds, ED.D., NCC,LPC, LCPC

Professional Counselor Mental Health Counselor Counselor Medicare enrolled

Shauna Moore Reynolds, ED.D., NCC,LPC, LCPC is a Professional Counselor in Calverton, MD, registered under NPI 1477809119. This provider registers 4 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 11785 BELTSVILLE DR STE 120, Calverton, MD 20705. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

11785 BELTSVILLE DR STE 120, Calverton, MD 20705 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
LC4866 MD Professional Counselor primary
PCR14291 DC Mental Health Counselor
PRC14291 DC Professional Counselor
PCR14291 DC Counselor
LC4866 MD Counselor
LC4866 MD Mental Health Counselor
LC4866 MD Marriage & Family Therapist
PCR14291 DC Marriage & Family Therapist

Licences are recorded in 2 states: MD, DC. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Mental Health Counselor
PAC ID
0042753519
Enrollment ID
I20240625002503

Medicare enrolment is recorded as approved under the provider type Practitioner - Mental Health Counselor. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: District of Columbia and Maryland. The practice address on file is in Calverton, MD, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

DC District of Columbia
Licence
PCR14291
Specialty
Mental Health Counselor
Verify with the DC board →
MD Maryland practice address
Licence
LC4866
Specialty
Professional Counselor
Verify with the MD board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Professional covers

Definition to come... NUCC Health Care Provider Taxonomy, code 101YP2500X
Behavioral Health & Social Service Providers Counselor Professional

All registered taxonomy codes

This provider registers 8 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
101YP2500X Professional Counselor Professional LC4866 MD primary
101YM0800X Mental Health Counselor Mental Health PCR14291 DC
101YP2500X Professional Counselor Professional PRC14291 DC
101Y00000X Counselor PCR14291 DC
101Y00000X Counselor LC4866 MD
101YM0800X Mental Health Counselor Mental Health LC4866 MD
106H00000X Marriage & Family Therapist LC4866 MD
106H00000X Marriage & Family Therapist PCR14291 DC

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1477809119 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 31, 2012
Last updatedFeb 7, 2024
StatusActive
Sole proprietorYes
CredentialED.D., NCC,LPC, LCPC
Practice address 11785 BELTSVILLE DR STE 120
Calverton, MD 20705
(240) 389-1487
Fax (240) 389-1463
Mailing address PO BOX 275
Burtonsville, MD 20866
Other identifiers 0647632P0000 · Medicaid (MD)
This record was updated on Feb 7, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1477809119 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 4 7 7 8 0 9 1 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 5 7 7 0 9 1 2

Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1477809119?
NPI 1477809119 is the National Provider Identifier assigned to Shauna Moore Reynolds, ED.D., NCC,LPC, LCPC in Calverton, MD. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Professional cover?
Definition to come...
How do I contact Shauna Moore Reynolds, ED.D., NCC,LPC, LCPC?
The phone number on file with NPPES is (240) 389-1487, last updated Feb 7, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Shauna Moore Reynolds, ED.D., NCC,LPC, LCPC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1477809119 a valid number?
Yes. 1477809119 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.