KIMBERLEY SHEPARD-EL-INCE
NPI 1215650015
Counselor - Mental Health in Takoma Park, MD
About Kimberley Shepard-el-ince NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLEY SHEPARD-EL-INCE (NPI 1215650015) is an individual mental health provider in Takoma Park, Maryland, licensed in Maryland (LGP13052) and active in the NPI registry since September 2022. She has opted out of Medicare through June 3, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Kimberley Shepard-el-ince 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 June 3, 2026 through June 3, 2028.
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.
SILVER SPRING, MD 20912
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 Kimberley Shepard-el-ince's NPI number?
The NPI number for Kimberley Shepard-el-ince is 1215650015. It was assigned to this individual provider in the NPPES registry on September 26, 2022.
Where is Kimberley Shepard-el-ince located?
Kimberley Shepard-el-ince practices at 6930 Carroll Ave Ste 610, Takoma Park, MD 20912. The listed phone number is (301) 563-9156.
What is Kimberley Shepard-el-ince's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kimberley Shepard-el-ince enrolled in Medicare?
No. Kimberley Shepard-el-ince has opted out of Medicare through June 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Kimberley Shepard-el-ince was last updated on September 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kimberley Shepard-El-Ince · NPI 1215650015
Mental Health provider in Takoma Park, Maryland. Individual provider, active in the CMS NPPES registry since September 26, 2022.
## Identity
- **NPI:** 1215650015 (Entity type: Individual)
- **Enumerated:** September 26, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LGP13052 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 6930 CARROLL AVE STE 610, Takoma Park, MD 20912-4498
- **Phone:** (301) 563-9156
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through June 3, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** September 26, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1215650015) · Data from the CMS NPPES public registry.