Individual provider · Type 1 NPI

Miranda Shelby Shupp

Counselor · Frederick, MD

NPI number 1124854369 Active

Practice location

5300 Westview Dr Ste 200
Frederick, MD 21703-8303

Call (240) 242-5865 Map

Mailing address

1500 S Douglas Rd Ste 230
Coral Gables, FL 33134-4108

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1124854369

Miranda Shelby Shupp's National Provider Identifier is 1124854369, issued on Sep 13, 2024. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Frederick, MD. The record was last updated on Jul 21, 2025.