Individual provider Active NPI

Robert Matthew Zendle, LCPC, LCADC

  • Professional Counselor
  • Aberdeen, MD
National Provider Identifier
1063771558
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC3571 Issued in MD
Practice address
604 Westgate Rd
Aberdeen, MD 21001-1625
Phone
(410) 989-1122
NPI assigned
May 3, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCA1786 MD
Professional Counselor 101YP2500X LC3571 MD Primary

Addresses

Primary practice location

604 Westgate Rd
Aberdeen, MD 21001-1625

Mailing address

604 Westgate Rd
Aberdeen, MD 21001-1625
Phone (410) 989-1122

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCA1786MDMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients
Zen Wellness LLC Addiction (Substance Use Disorder) CurrentSince Sep 6, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: robert.zendle.1@14940.direct.athenahealth.com
  • Direct secure messaging: robertzendle@tdh.allscriptsdirect.net

Organizations & group practices 2

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": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1063771558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 WESTGATE RD",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210011625",
            "telephone_number": "410-989-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 WESTGATE RD",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210011625",
            "telephone_number": "410-989-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZENDLE",
        "first_name": "ROBERT",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "LCPC, LCADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-03",
        "last_updated": "2020-09-01",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LCA1786",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC3571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.