Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miranda Shelby Shupp

Individual provider Behavior Technician · NPI 1124854369

Miranda Shelby Shupp is a Mental Health Counselor in Frederick, Maryland. Qualified in 2025, 1 year ago. Practices as a sole proprietor.

Years since qualifying
1
In the registry since
2024
Specialties on file
2

Practice location Address checks out

5300 Westview Dr Ste 200
Frederick, MD 21703-8303
Phone: (240) 242-5865
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1124854369
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 13, 2024
Last updated in NPPESJuly 21, 2025
Certification dateJuly 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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