MRS. MARY ELLEN SHEA
NPI 1700363173
Counselor - Mental Health in Frederick, MD

Active since July 27, 2018
23 E PATRICK ST STE 300, FREDERICK, MD 21701(240) 357-5410 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2024, Oct 9, 2024, Nov 16, 2022 and 1 more (4 updates tracked since 2018).

About Mrs. Mary Ellen Shea NPPES

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

MRS. MARY ELLEN SHEA (NPI 1700363173) is an individual mental health provider in Frederick, Maryland, licensed in Maryland (LC7836) and active in the NPI registry since July 2018. She is a graduate of Other (2014).

NPPES Registry Identity

NPI1700363173
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. MARY ELLEN SHEA
Location Address23 E PATRICK ST STE 300Frederick, MD 21701-6162
Mailing Address7309 Beechtree DrMiddletown, MD 21769-7604 · (240) 357-5410
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 27, 2018
Last NPPES UpdateNovember 19, 20244 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
NPI 1700363173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MD · LC7836
23 E PATRICK ST STE 300, Frederick, MD 21701

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Mary Ellen Shea is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648520700
PECOS Enrollment IDI20260410003604

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
23 E PATRICK ST STE 300
FREDERICK, MD 21701

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 Mary Ellen Shea's NPI number?

The NPI number for Mary Ellen Shea is 1700363173. It was assigned to this individual provider in the NPPES registry on July 27, 2018.

Where is Mary Ellen Shea located?

Mary Ellen Shea practices at 23 E Patrick St Ste 300, Frederick, MD 21701. The listed phone number is (240) 357-5410.

What is Mary Ellen Shea's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Mary Ellen Shea enrolled in Medicare?

Yes. Mary Ellen Shea is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Ellen Shea was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.