Individual provider Active NPI

Liana Vadala

  • Mental Health Counselor
  • Baltimore, MD
National Provider Identifier
1043789597
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LGP8948 Issued in MD
Practice address
6999 Reisterstown Rd Ste 4
Baltimore, MD 21215-1492
Phone
(410) 585-0598
NPI assigned
Nov 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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 LGP8948 MD Primary

Addresses

Primary practice location

6999 Reisterstown Rd Ste 4
Baltimore, MD 21215-1492

Mailing address

6999 Reisterstown Rd Ste 4
Baltimore, MD 21215-1492

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240215002474 MD Practitioner - Mental Health Counselor 1658715867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Associated Catholic Charities IncGroup PAC ID 8527101351, 42 clinicians

Practice addresses (Care Compare)

6999 Reisterstown Rd
Baltimore, MD 21215-1430
Phone (667) 600-3210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LGP8948MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Catholic Charities, Inc CurrentSince Jan 1, 2024 Accepting new patients
Associated Catholic Charities, Inc CurrentSince Jan 1, 2024 Accepting new patients
Associated Catholic Charities, Inc. Current Accepting new patients

Locations

6999 Reisterstown Rd
Ste 4
Baltimore, MD 21215
Phone (667) 600-3046

6999 Reisterstown Rd
Baltimore, MD 21215
Phone (667) 600-2000

2700 Washington Ave
Lansdowne, MD 21227
Phone (667) 600-3984

2300 Dulaney Valley Rd
Ste B
Timonium, MD 21093

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": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1043789597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6999 REISTERSTOWN RD STE 4",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212151492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6999 REISTERSTOWN RD STE 4",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212151492",
            "telephone_number": "410-585-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADALA",
        "first_name": "LIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-14",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP8948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.