MICHAEL JEROME SHORTER LGPC
NPI 1700572500
Counselor - Professional in Upper Marlboro, MD

Q: What is Michael Shorter's NPI number?

The NPI number for Michael Shorter is 1700572500. It was assigned to this individual provider in the NPPES registry on April 13, 2023.

Q: What is Michael Shorter's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Shorter was last updated on April 13, 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.

Active since April 13, 2023PECOS Enrolled

12104 CHESTERTON DR, UPPER MARLBORO, MD 20774(202) 487-7928 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Michael Jerome Shorter Lgpc NPPES

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

MICHAEL JEROME SHORTER LGPC (NPI 1700572500) is an individual professional provider in Upper Marlboro, Maryland, licensed in Maryland (LGP13736) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1700572500

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMICHAEL JEROME SHORTERCredential: LGPC

Location Address12104 CHESTERTON DRUpper Marlboro, MD 20774-1608

Mailing Address12104 Chesterton DrUpper Marlboro, MD 20774-1608 · (202) 487-7928

Phone(202) 487-7928

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateApril 13, 2023

NPPES CertifiedApril 13, 2023

✔ NPI 1700572500 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 · LGP13736

12104 CHESTERTON DR, Upper Marlboro, MD 20774

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Jerome Shorter Lgpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658842661

PECOS Enrollment IDI20260609004778

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.

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 Michael Shorter's NPI number?

The NPI number for Michael Shorter is 1700572500. It was assigned to this individual provider in the NPPES registry on April 13, 2023.

Where is Michael Shorter located?

Michael Shorter practices at 12104 Chesterton Dr, Upper Marlboro, MD 20774. The listed phone number is (202) 487-7928.

What is Michael Shorter's specialty?

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

Is Michael Shorter enrolled in Medicare?

Yes. Michael Shorter is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Shorter was last updated on April 13, 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.