Individual provider Active NPI

Denine Maria Gudnitz, LCPC

  • Professional Counselor
  • Gaithersburg, MD
National Provider Identifier
1013242759
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC3277 Issued in MD
Practice address
400 Main St
Lower Level
Gaithersburg, MD 20878-6521
Phone
(301) 512-9922
NPI assigned
Oct 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC3277 MD Primary

Addresses

Primary practice location

400 Main St
Lower Level
Gaithersburg, MD 20878-6521

Mailing address

12060 Little Patuxent Pkwy Apt C
Columbia, MD 21044-4825
Phone (301) 512-9922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC3277MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Harbor Behavioral Care, LLC Professional CurrentSince Jul 10, 2024 Accepting new patients

Locations

1208 E Churchville Rd
Ste 300
Bel Air, MD 21014
Phone (410) 838-9500

8975 Guilford Rd
Ste 170
Columbia, MD 21046
Phone (443) 453-7727

5054 Dorsey Hall Dr
Ste 105
Ellicott City, MD 21042
Phone (410) 730-0122

12805 Georgia Ave
Silver Spring, MD 20906

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280275200000",
    "number": "1013242759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12060 LITTLE PATUXENT PKWY APT C",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210444825",
            "telephone_number": "301-512-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MAIN ST",
            "address_2": "LOWER LEVEL",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208786521",
            "telephone_number": "301-512-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDNITZ",
        "first_name": "DENINE",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-14",
        "last_updated": "2010-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC3277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.