Individual provider Active NPI

Elaine M. Hill

  • Counselor
  • Severn, MD
National Provider Identifier
1063958791
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LGP6621 Issued in MD
Practice address
119 Lillian Ave
Severn, MD 21144-3344
Phone
(443) 790-8619
NPI assigned
Jan 19, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LGP6621 MD Primary
Counselor 101Y00000X
Pastoral Counselor 101YP1600X LGP6621 MD

Addresses

Primary practice location

119 Lillian Ave
Severn, MD 21144-3344

Mailing address

119 Lillian Ave
Severn, MD 21144-3344
Phone (443) 790-8619

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
I20240618001338 MD Practitioner - Mental Health Counselor 6608319728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centrepointe Counseling IncGroup PAC ID 8628021664, 10 clinicians

Practice addresses (Care Compare)

17826 New Hampshire Ave
Ashton, MD 20861-9781
Phone (800) 491-5369

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LGP6621MDMDPastoral Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Centrepointe Counseling, Inc. Pastoral CurrentSince Jun 11, 2024 Accepting new patients

Locations

17826 New Hampshire Ave
Ashton, MD 20861
Phone (800) 491-5639

Organizations & group practices 1

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": "1484784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1063958791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 LILLIAN AVE",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211443344",
            "telephone_number": "443-790-8619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 LILLIAN AVE",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211443344",
            "telephone_number": "443-790-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "ELAINE",
        "middle_name": "M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-19",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LGP6621",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "MD",
            "license": "LGP6621",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Severn, MD

Sources for this page

Verify at the official NPI Registry.