SHANTAE ELLIOTT
NPI 1760865091
Counselor - Professional in Upper Marlboro, MD

Active since July 06, 2015
3037 LEMONADE LN, UPPER MARLBORO, MD 20774(240) 324-7535 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shantae Elliott NPPES

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

SHANTAE ELLIOTT (NPI 1760865091) is an individual professional provider in Upper Marlboro, Maryland, licensed in Maryland (LGP6351) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1760865091
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHANTAE ELLIOTT
Location Address3037 LEMONADE LNUpper Marlboro, MD 20774-2736
Mailing Address3037 Lemonade LnUpper Marlboro, MD 20774-2736 · (240) 324-7535
Sole ProprietorNo
Enumeration DateJuly 6, 2015
Last NPPES UpdateFebruary 27, 2026
NPPES CertifiedFebruary 27, 2026
NPI 1760865091 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 · LGP6351
3037 LEMONADE LN, Upper Marlboro, MD 20774

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 Shantae Elliott's NPI number?

The NPI number for Shantae Elliott is 1760865091. It was assigned to this individual provider in the NPPES registry on July 6, 2015.

Where is Shantae Elliott located?

Shantae Elliott practices at 3037 Lemonade Ln, Upper Marlboro, MD 20774. The listed phone number is (240) 324-7535.

What is Shantae Elliott'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 Shantae Elliott was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.