Active NPI
Denine Maria Gudnitz, LCPC
- Professional Counselor
- Gaithersburg, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC3277
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC3277 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safe Harbor Behavioral Care, LLC | Professional | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.