Active NPI
Amy Sherbin, LCPC
- Professional Counselor
- Oakland, MD
National Provider Identifier
1043676976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC6872
- Practice address
- 1025 Memorial Dr
Oakland, MD 21550-4343 - Phone
- (301) 334-7680
- Fax
- (301) 334-7681
- NPI assigned
- Jan 7, 2016
- 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 | LC6872 | MD | Primary |
Addresses
Primary practice location
1025 Memorial Dr
Oakland, MD 21550-4343
Mailing address
1025 Memorial Dr
Oakland, MD 21550-4343
Phone (301) 334-7680
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1025 Memorial Dr
Oakland, MD 21550-4343
Phone (301) 334-7700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC6872 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garrett County Health Department | Current | Accepting new patients | |
| Garrett County Health Dept-Substance Abuse | Current | Accepting new patients | |
| Garrett County Health Department | Current | Accepting new patients |
Locations
1025 Memorial Dr
Oakland, MD 21550
Phone (301) 334-7680
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.
-
- Public Health or Welfare Agency
- Oakland, MD
- NPI 1568411619
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Oakland, MD
- NPI 1326096751
-
- Community/Behavioral Health Agency
- Oakland, MD
- NPI 1477943108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1043676976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 MEMORIAL DR",
"city": "OAKLAND",
"state": "MD",
"postal_code": "215504343",
"telephone_number": "301-334-7680",
"fax_number": "301-334-7681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 MEMORIAL DR",
"city": "OAKLAND",
"state": "MD",
"postal_code": "215504343",
"telephone_number": "301-334-7680",
"fax_number": "301-334-7681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERBIN",
"first_name": "AMY",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-07",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC6872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.