NPIMap

Organization Active NPI

Annapolis Counseling Center, LLC

  • Professional Counselor
  • Annapolis, MD
National Provider Identifier
1104209121
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC1883 Issued in MD
Legal business name
ANNAPOLIS COUNSELING CENTER, LLC
Practice address
700 Melvin Ave
Suite 5
Annapolis, MD 21401-1514
Phone
(410) 280-9444
NPI assigned
Jul 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Authorized official

Name
Lance A David, MA LCPC
Title
Owner
Phone
(410) 280-9444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X LC1883 MD Primary

Addresses

Primary practice location

700 Melvin Ave
Suite 5
Annapolis, MD 21401-1514

Mailing address

700 Melvin Ave
Suite 5
Annapolis, MD 21401-1514
Phone (410) 280-9444

National Provider Directory

National Provider Directory

Locations

700 Melvin Ave
Ste 5
Annapolis, MD 21401
Phone (410) 280-9444

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1104209121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MELVIN AVE",
            "address_2": "SUITE 5",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011514",
            "telephone_number": "410-280-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MELVIN AVE",
            "address_2": "SUITE 5",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011514",
            "telephone_number": "410-280-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNAPOLIS COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-280-9444",
        "authorized_official_credential": "MA LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC1883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.