Individual provider Active NPI

Mayra Rondon, L.C.P.C

  • Mental Health Counselor
  • Gaithersburg, MD
National Provider Identifier
1043688609
Registry record updated Sep 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC4702 Issued in MD
Practice address
19228 Racine CT
Gaithersburg, MD 20886-3900
Phone
(301) 351-7852
NPI assigned
Sep 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC4702 MD Primary

Addresses

Primary practice location

19228 Racine CT
Gaithersburg, MD 20886-3900

Mailing address

19228 Racine CT
Gaithersburg, MD 20886-3900
Phone (301) 351-7852

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250610001100 DC Practitioner - Mental Health Counselor 0345750287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

255 Rockville Pike
Suite 145
Rockville, MD 20850-5136
Phone (240) 777-4891

401 Hungerford Dr
Rockville, MD 20850-4154
Phone (301) 217-1345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery County Maryland Government Current Accepting new patients
Montgomery County Maryland Government CurrentSince Mar 20, 2025 Accepting new patients
Montgomery County Maryland Government CurrentSince Mar 20, 2025 Accepting new patients

Locations

401 Hungerford Dr
Ste 500
Rockville, MD 20850
Phone (301) 217-1345

401 Hungerford Dr
Fl 6
Rockville, MD 20850

Interoperability endpoints

  • Direct secure messaging: mayra.rondontineo.p1@direct.mcg-hhs.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441929600000",
    "number": "1043688609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19228 RACINE CT",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208863900",
            "telephone_number": "301-351-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19228 RACINE CT",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208863900",
            "telephone_number": "301-351-7852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONDON",
        "first_name": "MAYRA",
        "credential": "L.C.P.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-11",
        "last_updated": "2015-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC4702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.