MIRANDA SHELBY SHUPP
NPI 1124854369
Counselor in Frederick, MD

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

Active since September 13, 2024

5300 WESTVIEW DR STE 200, FREDERICK, MD 21703(240) 242-5865 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Miranda Shelby Shupp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRANDA SHELBY SHUPP (NPI 1124854369) is an individual counselor in Frederick, Maryland and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1124854369

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMIRANDA SHELBY SHUPP

Location Address5300 WESTVIEW DR STE 200Frederick, MD 21703-8303

Mailing Address1500 S Douglas Rd Ste 230Coral Gables, FL 33134-4108 · (844) 244-1818

Phone(240) 242-5865

Sole ProprietorYes

Enumeration DateSeptember 13, 2024

Last NPPES UpdateJuly 21, 2025

NPPES CertifiedJuly 21, 2025

✔ NPI 1124854369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedBehavior TechnicianTaxonomy 106S00000X

5300 WESTVIEW DR STE 200, Frederick, MD 21703

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