Active NPI
Katelyn Alcamo, LCMFT
- Marriage & Family Therapist
- Bethesda, MD
National Provider Identifier
1013239680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LCM401
- Practice address
- 5654 Shields Dr
Bethesda, MD 20817-3574 - Phone
- (240) 600-0968
- NPI assigned
- Feb 23, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LGM350 | MD | |
| Marriage & Family Therapist | 106H00000X | LCM401 | MD | Primary |
Addresses
Primary practice location
5654 Shields Dr
Bethesda, MD 20817-3574
Mailing address
9603 Montgomery Dr
Bethesda, MD 20814-1717
Phone (410) 591-5126
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCM401 | MD | MD | Marriage & Family Therapist |
| LGM350 | MD | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638144000000",
"number": "1013239680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9603 MONTGOMERY DR",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208141717",
"telephone_number": "410-591-5126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5654 SHIELDS DR",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208173574",
"telephone_number": "240-600-0968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALCAMO",
"first_name": "KATELYN",
"credential": "LCMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-23",
"last_updated": "2021-11-29",
"certification_date": "2021-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MD",
"license": "LGM350",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MD",
"license": "LCM401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.