MRS. AMANDA LYNN SHORES MS-ADP
NPI 1154735025
Counselor - Addiction (Substance Use Disorder) in Prince Frederick, MD

Q: What is Amanda Shores's NPI number?

The NPI number for Amanda Shores is 1154735025. It was assigned to this individual provider in the NPPES registry on June 18, 2014. The provider is also known as Ms. Amanda Lynn Baker.

Q: What is Amanda Shores's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: Is Amanda Shores enrolled in Medicare?

No. Amanda Shores has opted out of Medicare through October 27, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Amanda Shores was last updated on June 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.

Active since June 18, 2014Opted out of Medicare · through Oct 27, 2027

975 SOLOMONS ISLAND RD N, PRINCE FREDERICK, MD 20678(410) 535-3079(410) 535-2220 Get Directions Write a Review

NPPES record last updated: June 18, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Amanda Lynn Shores Ms-adp NPPES

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

MRS. AMANDA LYNN SHORES MS-ADP (NPI 1154735025) is an individual addiction (substance use disorder) provider in Prince Frederick, Maryland and active in the NPI registry since June 2014. She has opted out of Medicare through October 27, 2027.

NPPES Registry Identity

NPI1154735025

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMRS. AMANDA LYNN SHORESCredential: MS-ADP

Location Address975 SOLOMONS ISLAND RD NPrince Frederick, MD 20678-3917

Mailing AddressPo Box 1158Prince Frederick, MD 20678-1158 · (410) 535-3079 · Fax (410) 535-2220

Phone(410) 535-3079

Fax(410) 535-2220

Sole ProprietorNo

Enumeration DateJune 18, 2014

✔ NPI 1154735025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

975 SOLOMONS ISLAND RD N, Prince Frederick, MD 20678

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Other Names 1

Former Name (1)Ms. Amanda Lynn Baker

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Amanda Lynn Shores Ms-adp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 27, 2025 through October 27, 2027.

Opt-Out Effective DateOctober 27, 2025

Opt-Out In Effect ThroughOctober 27, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

MR. JASON ROBERT PHELAN BA-ADP

Counselor (Addiction (Substance Use Disorder))