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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. SHANEETA REAVES LCPC
NPI 1538639992
Counselor - Professional in Severna Park, MD

Active since November 28, 2018PECOS Enrolled
877 BALTIMORE ANNAPOLIS BLVD STE 312, SEVERNA PARK, MD 21146(410) 315-9350(833) 449-5169 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 8, 2026, Sep 9, 2026, Jan 22, 2020 and 1 more (4 updates tracked since 2018).

About Mrs. Shaneeta Reaves Lcpc NPPES

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

MRS. SHANEETA REAVES LCPC (NPI 1538639992) is an individual professional provider in Severna Park, Maryland, licensed in Maryland (LC9305) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1538639992
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. SHANEETA REAVESCredential: LCPC
Location Address877 BALTIMORE ANNAPOLIS BLVD STE 312Severna Park, MD 21146-4716
Mailing Address877 Baltimore Annapolis Blvd Ste 312Severna Park, MD 21146-4716
Phone(410) 315-9350
Fax(833) 449-5169
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 28, 2018
Last NPPES UpdateOctober 8, 20264 updates tracked since enumeration
NPPES CertifiedOctober 8, 2026
✔ NPI 1538639992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MD · LC9305
877 BALTIMORE ANNAPOLIS BLVD STE 312, Severna Park, MD 21146
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1420 Chinquapin Round Rd Ste 2IAnnapolis, MD 21401-4006 · Phone (410) 990-1811 ext. 105 · Fax (443) 949-7379
Location 28638 Veterans Hwy Ste 301Millersville, MD 21108-1422 · Phone (410) 740-8066

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Shaneeta Reaves Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183109044
PECOS Enrollment IDI20260327004147
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 Shaneeta Reaves reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Evolve Life Centers Iop LLC
4.2 mi
Rehabilitation, Substance Use Disorder
4231 POSTAL CT STE 201
Pasadena, MD 21122
  • Reassigned Medicare billing, Maryland enrollment
  • 9 clinicians in this Medicare group
NPI 1124735717 (443) 548-3733

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

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 Shaneeta Reaves's NPI number?

The NPI number for Shaneeta Reaves is 1538639992. It was assigned to this individual provider in the NPPES registry on November 28, 2018.

Where is Shaneeta Reaves located?

Shaneeta Reaves practices at 877 Baltimore Annapolis Blvd Ste 312, Severna Park, MD 21146. The listed phone number is (410) 315-9350.

What is Shaneeta Reaves's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Shaneeta Reaves enrolled in Medicare?

Yes. Shaneeta Reaves is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shaneeta Reaves's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shaneeta Reaves reassigns Medicare benefits to Evolve Life Centers Iop LLC (Pasadena, 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 Shaneeta Reaves'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 Shaneeta Reaves was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.