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CORY SHIVES LCPC
NPI 1699218461
Counselor - Professional in Hagerstown, MD

Active since November 29, 2016PECOS Enrolled
13121 BROOKLANE DR, HAGERSTOWN, MD 21742(301) 733-0331 Get Directions Write a Review

NPPES record last updated: July 19, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 19, 2022, May 27, 2021 (2 updates tracked since 2021).

About Cory Shives Lcpc NPPES

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

CORY SHIVES LCPC (NPI 1699218461) is an individual professional provider in Hagerstown, Maryland, licensed in Maryland (LC8917) and active in the NPI registry since November 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Hagerstown.

NPPES Registry Identity

NPI1699218461
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameCORY SHIVESCredential: LCPC
Location Address13121 BROOKLANE DRHagerstown, MD 21742-1514
Mailing Address13121 Brooklane DrHagerstown, MD 21742-1514 · (301) 733-0331
Phone(301) 733-0331
Sole ProprietorYes
Enumeration DateNovember 29, 2016
Last NPPES UpdateJuly 19, 20222 updates tracked since enumeration
NPPES CertifiedJune 11, 2021
✔ NPI 1699218461 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 · LC8917
13121 BROOKLANE DR, Hagerstown, MD 21742
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Secondary Practice Location 1

Location 111116 Medical Campus RdHagerstown, MD 21742-6710 · Phone (301) 766-7600 · Fax (301) 766-7702

Other Identifiers 1

Medicaid589057800MD

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cory Shives Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Cory Shives reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Brook Lane Behavioral Services, Inc.
0.1 mi
Psychiatry
13215 BROOK LANE, OUTPATIENT SERVICES
Hagerstown, MD 21742
  • Reassigned Medicare billing, Maryland enrollment
  • 47 clinicians in this Medicare group
NPI 1538647748 (301) 733-0330

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 20

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

VICTORIA BURGAMY LMSW
Social Worker
13121 BROOKLANE DR
HAGERSTOWN, MD 21742
Washington County (301) 733-0331
DR. GHADEER IBRAHIM CRNP
Nurse Practitioner (Family)
13121 BROOKLANE DR
HAGERSTOWN, MD 21742
Washington County (301) 733-0330
DR. CHRIS GAUTHIER DO
Psychiatry & Neurology (Psychiatry)
13121 BROOKLANE DR
HAGERSTOWN, MD 21742
Washington County (301) 733-0330
MS. JULIE RENEE BANGS RN
Registered Nurse (Psychiatric/Mental Health)
13121 BROOKLANE DR
HAGERSTOWN, MD 21742
Washington County (301) 733-0330
ANTHONY TERRELONGE
Counselor (Mental Health)
13121 BROOKLANE DR
HAGERSTOWN, MD 21742
Washington County (301) 733-0330
MAURA DUBOYCE LGPC
Counselor (Mental Health)
13121 BROOKLANE DR
HAGERSTOWN, MD 21742
Washington County (800) 342-2992
MS. ALLYSON SUZANNE LAWSON PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
13121 BROOKLANE DR
HAGERSTOWN, MD 21742
Washington County (301) 733-0330
LAURA ROCIO FERNANDEZ GARZA LCPC
Counselor (Professional)
13121 BROOKLANE DR
HAGERSTOWN, MD 21742
Washington County (301) 733-0330

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 Cory Shives's NPI number?

The NPI number for Cory Shives is 1699218461. It was assigned to this individual provider in the NPPES registry on November 29, 2016.

Where is Cory Shives located?

Cory Shives practices at 13121 Brooklane Dr, Hagerstown, MD 21742. The listed phone number is (301) 733-0331.

What is Cory Shives's specialty?

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

Is Cory Shives enrolled in Medicare?

Yes. Cory Shives is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Cory Shives's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cory Shives reassigns Medicare benefits to Brook Lane Behavioral Services, Inc. (Hagerstown, 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 Cory Shives'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 Cory Shives was last updated on July 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.