Jeff Shinal, LCPC
Counselor, Professional in Rockville, MD. Individual provider (NPI-1).
NPI number1003086786
StatusActive
Last updated in NPPESOct 22, 2014
Details
- NPI
- 1003086786
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jeff Shinal
- Credential
- LCPC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 10, 2008
- Last updated
- Oct 22, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LC2044 | MD | Yes |
Practice location
966 Hungerford DrSuite 14a
Rockville, MD 20850-1714
Phone 703-585-1066 · Fax 703-771-4022
Mailing address
311 Lawford Dr SwSuite 14a
Leesburg, VA 20175
Phone 703-585-1066 · Fax 703-771-4022
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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