Individual provider Active NPI

Meghan Rose Hesterberg, LCADC, LCPC

  • Mental Health Counselor
  • Columbia, MD
National Provider Identifier
1083253363
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCA3021 Issued in MD
Practice address
10630 Little Patuxent Pkwy Ste 209
Columbia, MD 21044-6278
Phone
(410) 740-8067
Fax
(410) 740-8066
NPI assigned
Jan 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC12059 MD
Mental Health Counselor 101YM0800X LCA3021 MD Primary

Addresses

Primary practice location

10630 Little Patuxent Pkwy Ste 209
Columbia, MD 21044-6278

Mailing address

10630 Little Patuxent Pkwy Ste 209
Columbia, MD 21044-6278
Phone (410) 740-8067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260527001566 NJ Practitioner - Mental Health Counselor 1850861238 Reassigns benefits to 1 organization
I20260604004729 MD Practitioner - Mental Health Counselor 1850861238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10630 Little Patuxent Pkwy
Suite 209
Columbia, MD 21044-3200

201 S Biscayne Blvd
Suite 2867
Miami, FL 33131-4330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCA3021MDMDMental Health Counselor
LC12059MDMDProfessional Counselor

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": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1083253363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10630 LITTLE PATUXENT PKWY STE 209",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210446278",
            "telephone_number": "410-740-8067",
            "fax_number": "410-740-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10630 LITTLE PATUXENT PKWY STE 209",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210446278",
            "telephone_number": "410-740-8067",
            "fax_number": "410-740-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESTERBERG",
        "first_name": "MEGHAN",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "LCADC, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-03",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC12059",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LCA3021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.