Individual provider Active NPI

Joshua Mandell, LGPC

  • Mental Health Counselor
  • Reisterstown, MD
National Provider Identifier
1083241897
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LGP10371 Issued in MD
Practice address
37 Main St
Reisterstown, MD 21136-1236
Phone
(410) 812-5623
NPI assigned
Mar 24, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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 LGP10371 MD Primary

Addresses

Primary practice location

37 Main St
Reisterstown, MD 21136-1236

Mailing address

5510 Willys Ave
Halethorpe, MD 21227-2829
Phone (443) 797-3685

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
I20240830000224 MD Practitioner - Mental Health Counselor 2163961434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Main Street Mobile Treatment Associates IncGroup PAC ID 7416911342, 6 clinicians

Practice addresses (Care Compare)

37 Main St
Reisterstown, MD 21136-1236
Phone (410) 526-7882

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LGP10371MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Main Street Mobile Treatment Associates Inc Mental Health CurrentSince Jun 3, 2024 Accepting new patients
Healing Perspectives Counseling LLC Mental Health CurrentSince Aug 11, 2024 Accepting new patients

Locations

37 Main St
Reisterstown, MD 21136
Phone (410) 526-7882

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": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1083241897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 WILLYS AVE",
            "city": "HALETHORPE",
            "state": "MD",
            "postal_code": "212272829",
            "telephone_number": "443-797-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 MAIN ST",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361236",
            "telephone_number": "410-812-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDELL",
        "first_name": "JOSHUA",
        "credential": "LGPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-24",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP10371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reisterstown, MD

Sources for this page

Verify at the official NPI Registry.