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MIRANDA SHELBY SHUPP
NPI 1124854369
Counselor in Frederick, MD

Active since September 13, 2024PECOS Enrolled
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: August 09, 2026.

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. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

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
Medical School CMSOtherGraduated 2025
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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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miranda Shelby Shupp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648766378
PECOS Enrollment IDI20260102000759
Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JORDI LYNN HOFFMASTER
Behavior Technician
5300 WESTVIEW DR STE 200
FREDERICK, MD 21703
Frederick County (240) 247-0977
NATALIA CHAMBERS
Behavior Technician
5300 WESTVIEW DR STE 200
FREDERICK, MD 21703
Frederick County (240) 242-5865
MATTHEW MASON
Behavior Technician
5300 WESTVIEW DR STE 200
FREDERICK, MD 21703
Frederick County (844) 244-1818
TEAGAN WILLETT RBT
Behavior Technician
5300 WESTVIEW DR STE 200
FREDERICK, MD 21703
Frederick County (844) 244-1818
FATHYM SOW
Behavior Technician
5300 WESTVIEW DR STE 200
FREDERICK, MD 21703
Frederick County (240) 242-5865
MICHAELA L WILLIAMS
Behavior Technician
5300 WESTVIEW DR STE 200
FREDERICK, MD 21703
Frederick County (240) 242-5865
OLIVIA NYSTROM
Behavior Technician
5300 WESTVIEW DR STE 200
FREDERICK, MD 21703
Frederick County (240) 242-5865
ALEXIS CLAIRE CANDELORO
Behavior Technician
5300 WESTVIEW DR STE 200
FREDERICK, MD 21703
Frederick County (844) 854-1116

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miranda Shupp's NPI number?

The NPI number for Miranda Shupp is 1124854369. It was assigned to this individual provider in the NPPES registry on September 13, 2024.

Where is Miranda Shupp located?

Miranda Shupp practices at 5300 Westview Dr Ste 200, Frederick, MD 21703. The listed phone number is (240) 242-5865.

What is Miranda Shupp's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Miranda Shupp enrolled in Medicare?

Yes. Miranda Shupp is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Miranda Shupp was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.