MISS SHELBY LYNN BRUGGEMAN MA
NPI 1235915588
Counselor in Lutherville Timonium, MD

Active since September 04, 2023PECOS Enrolled
9475 DEERECO RD STE 410, LUTHERVILLE TIMONIUM, MD 21093(410) 560-6135(410) 560-6136 Get Directions Write a Review

NPPES record last updated: September 4, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Miss Shelby Lynn Bruggeman Ma NPPES

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

MISS SHELBY LYNN BRUGGEMAN MA (NPI 1235915588) is an individual counselor in Lutherville Timonium, Maryland and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1235915588
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMISS SHELBY LYNN BRUGGEMANCredential: MA
Location Address9475 DEERECO RD STE 410Lutherville Timonium, MD 21093-2124
Mailing Address9475 Deereco Rd Ste 410Lutherville Timonium, MD 21093-2124 · (410) 560-6135 · Fax (410) 560-6136
Fax(410) 560-6136
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 4, 2023
NPPES CertifiedSeptember 2, 2023
✔ NPI 1235915588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
9475 DEERECO RD STE 410, Lutherville Timonium, MD 21093

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Shelby Lynn Bruggeman Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860987435
PECOS Enrollment IDI20251220000225
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.

Medicare Billing Reassignment

Medicare enrollment records show Shelby Bruggeman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
9475 DEERECO RD STE 410
Timonium, MD 21093
  • Reassigned Medicare billing, Maryland enrollment
  • 5 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 17

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

Counselor (Mental Health)
9475 DEERECO RD STE 410
LUTHERVILLE TIMONIUM, MD 21093
Clinic/Center (Mental Health (Including Community Mental Health Center))
9475 DEERECO RD STE 410
TIMONIUM, MD 21093
Counselor (Mental Health)
9475 DEERECO RD STE 410
LUTHERVILLE TIMONIUM, MD 21093
Social Worker (Clinical)
9475 DEERECO RD STE 410
LUTHERVILLE TIMONIUM, MD 21093
Counselor (Mental Health)
9475 DEERECO RD STE 410
TIMONIUM, MD 21093
Social Worker (Clinical)
9475 DEERECO RD STE 410
TIMONIUM, MD 21093
Counselor (Professional)
9475 DEERECO RD STE 410
LUTHERVILLE TIMONIUM, MD 21093
Counselor
9475 DEERECO RD STE 410
LUTHERVILLE TIMONIUM, MD 21093

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 Shelby Bruggeman's NPI number?

The NPI number for Shelby Bruggeman is 1235915588. It was assigned to this individual provider in the NPPES registry on September 4, 2023.

Where is Shelby Bruggeman located?

Shelby Bruggeman practices at 9475 Deereco Rd Ste 410, Lutherville Timonium, MD 21093. The listed phone number is (410) 560-6135.

What is Shelby Bruggeman's specialty?

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

Is Shelby Bruggeman enrolled in Medicare?

Yes. Shelby Bruggeman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shelby Bruggeman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Bruggeman reassigns Medicare benefits to Core Counseling Services Co (Timonium, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shelby Bruggeman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shelby Bruggeman was last updated on September 4, 2023. 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.