SHASTA DENNINE TAYLOR LCPC, LCADC, NCC
NPI 1629746144
Counselor - Professional in Princess Anne, MD

Active since August 31, 2021
13653 CROWS FOOT LN, PRINCESS ANNE, MD 21853(140) 845-1796 Get Directions Write a Review

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shasta Dennine Taylor Lcpc, Lcadc, Ncc NPPES

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

SHASTA DENNINE TAYLOR LCPC, LCADC, NCC (NPI 1629746144) is an individual professional provider in Princess Anne, Maryland, licensed in Maryland (LC8064) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1629746144
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHASTA DENNINE TAYLORCredential: LCPC, LCADC, NCC
Location Address13653 CROWS FOOT LNPrincess Anne, MD 21853-3211
Mailing Address13653 Crows Foot LnPrincess Anne, MD 21853-3211 · (140) 845-1796
Sole ProprietorYes
Enumeration DateAugust 31, 2021
NPPES CertifiedAugust 31, 2021
✔ NPI 1629746144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MD · LC8064
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LCA2707 (MD)
13653 CROWS FOOT LN, Princess Anne, MD 21853

Other Names 1

Former Name (1)Shasta Dennine Jarmon Lcpc, Lcadc, Ncc

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 Shasta Taylor's NPI number?

The NPI number for Shasta Taylor is 1629746144. It was assigned to this individual provider in the NPPES registry on August 31, 2021. The provider is also known as Shasta Dennine Jarmon Lcpc, Lcadc, Ncc.

Where is Shasta Taylor located?

Shasta Taylor practices at 13653 Crows Foot Ln, Princess Anne, MD 21853. The listed phone number is (140) 845-1796.

What is Shasta Taylor's specialty?

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

When was this NPI record last updated?

The NPPES record for Shasta Taylor was last updated on August 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.