Individual provider Active NPI

Andrew Nelson, LCPC

  • Professional Counselor
  • Elkton, MD
National Provider Identifier
1023319225
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC5057 Issued in MD
Practice address
7 Greenwood St
Elkton, MD 21921-7247
Phone
(443) 945-9595
NPI assigned
Nov 4, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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 LC5057 MD Primary

Addresses

Primary practice location

7 Greenwood St
Elkton, MD 21921-7247

Mailing address

7 Greenwood St
Elkton, MD 21921-7247

Other practice location 1

Wolvenplein 25
Utrecht, Netherlands 3512CK
NL
Phone (443) 945-9595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC5057MDMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1023319225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GREENWOOD ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219217247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 GREENWOOD ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219217247",
            "telephone_number": "443-945-9595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Wolvenplein 25",
            "address_purpose": "LOCATION",
            "city": "Utrecht",
            "state": "Netherlands",
            "postal_code": "3512CK",
            "country_code": "NL",
            "telephone_number": "443-945-9595",
            "country_name": "Netherlands",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ANDREW",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-04",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC5057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.