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SHATERA KIMBROUGH
NPI 1871268466
Counselor - Mental Health in Millersville, MD

Active since August 16, 2021PECOS EnrolledAccepts Medicare Assignment
1111 BENFIELD BLVD STE 200, MILLERSVILLE, MD 21108(443) 414-9976 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shatera Kimbrough NPPES

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

SHATERA KIMBROUGH (NPI 1871268466) is an individual mental health provider in Millersville, Maryland, licensed in Maryland (LCP11772) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1871268466
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHATERA KIMBROUGH
Location Address1111 BENFIELD BLVD STE 200Millersville, MD 21108-3004
Mailing Address1111 Benfield Blvd Ste 200Millersville, MD 21108-3004
Phone(443) 414-9976
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 16, 2021
NPPES CertifiedAugust 16, 2021
✔ NPI 1871268466 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 · LCP11772
1111 BENFIELD BLVD STE 200, Millersville, MD 21108
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shatera Kimbrough is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840779039
PECOS Enrollment IDI20260209001242
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 Shatera Kimbrough reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Safe Harbor Behavioral Care, LLC
32 mi
Clinical
2227 OLD EMMORTON RD, STE 119
Bel Air, MD 21015
  • Reassigned Medicare billing, Maryland enrollment
  • 131 clinicians in this Medicare group
NPI 1316487879 (410) 893-4600

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.

MRS. LISA ANN MAHER LCPC
Counselor (Mental Health)
1111 BENFIELD BLVD STE 200
MILLERSVILLE, MD 21108
Anne Arundel County (667) 600-2494
JAMIE FITZGERALD
Social Worker
1111 BENFIELD BLVD STE 200
MILLERSVILLE, MD 21108
Anne Arundel County (667) 600-2494
KERRYN T ROWE LMSW
Social Worker
1111 BENFIELD BLVD STE 200
MILLERSVILLE, MD 21108
Anne Arundel County (667) 600-2494
MRS. TAMARA RENEE TRAVIS LMSW
Social Worker (Clinical)
1111 BENFIELD BLVD STE 200
MILLERSVILLE, MD 21108
Anne Arundel County (443) 256-9237
CARI SAUMENIG LMSW
Counselor (Mental Health)
1111 BENFIELD BLVD STE 200
MILLERSVILLE, MD 21108
Anne Arundel County (667) 600-2494
LEAH MANDLEY LCSW-C
Social Worker (Clinical)
1111 BENFIELD BLVD STE 200
MILLERSVILLE, MD 21108
Anne Arundel County (410) 913-8828
BRITTNEY HOLT LGPC
Counselor (Professional)
1111 BENFIELD BLVD STE 200
MILLERSVILLE, MD 21108
Anne Arundel County (443) 406-8088
MINDY K ATHAS RD, RDN
Dietitian, Registered
1111 BENFIELD BLVD STE 200
MILLERSVILLE, MD 21108
Anne Arundel County (410) 729-5100

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 Shatera Kimbrough's NPI number?

The NPI number for Shatera Kimbrough is 1871268466. It was assigned to this individual provider in the NPPES registry on August 16, 2021.

Where is Shatera Kimbrough located?

Shatera Kimbrough practices at 1111 Benfield Blvd Ste 200, Millersville, MD 21108. The listed phone number is (443) 414-9976.

What is Shatera Kimbrough's specialty?

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

Is Shatera Kimbrough enrolled in Medicare?

Yes. Shatera Kimbrough is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Shatera Kimbrough's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shatera Kimbrough reassigns Medicare benefits to Safe Harbor Behavioral Care, LLC (Bel Air, 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 Shatera Kimbrough'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 Shatera Kimbrough was last updated on August 16, 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.