Individual provider Active NPI

Ann L. Ueno, L.C.P.C.

  • Counselor
  • Prince Frederick, MD
National Provider Identifier
1003067067
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LC3683 Issued in MD
Practice address
975 Solomons Island Road
Prince Frederick, MD 20678
Phone
(410) 535-5400
Fax
(410) 414-9413
NPI assigned
Oct 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LC3683 MD Primary

Addresses

Primary practice location

975 Solomons Island Road
Prince Frederick, MD 20678

Mailing address

P.O. Box 980
975 Solomons Island Road
Prince Frederick, MD 20678
Phone (410) 535-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240228000424 MD Practitioner - Mental Health Counselor 0143665364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calvert County Health DepartmentGroup PAC ID 7214188366, 19 clinicians

Practice addresses (Care Compare)

975 Solomons Island Rd N
Suite 119
Prince Frederick, MD 20678-0980
Phone 4105355400329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Calvert County Health Department Current Accepting new patients
Calvert County Health Department CurrentSince Jan 16, 2024 Accepting new patients
Calvert County Health Department CurrentSince Jan 16, 2024 Accepting new patients

Locations

975 Solomons Island Rd N
Prnc Frederck, MD 20678
Phone (410) 535-5400

975 Solomons Island Rd N
Ste 119
Prnc Frederck, MD 20678
Phone (410) 535-5400

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1003067067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 980",
            "address_2": "975 SOLOMONS ISLAND ROAD",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "20678",
            "telephone_number": "410-535-5400",
            "fax_number": "410-414-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 SOLOMONS ISLAND ROAD",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "20678",
            "telephone_number": "410-535-5400",
            "fax_number": "410-414-9413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UENO",
        "first_name": "ANN",
        "middle_name": "L.",
        "credential": "L.C.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LC3683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

Verify at the official NPI Registry.