Individual provider Active NPI

Naomi Catherine Kabasela, LCPC, MA

  • Professional Counselor
  • Rockville, MD
National Provider Identifier
1104905454
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC1698 Issued in MD
Practice address
751 Twinbrook Pkwy
1St. Floor
Rockville, MD 20851-1400
Phone
(301) 838-4104
Fax
(301) 315-8331
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC1698 MD Primary

Addresses

Primary practice location

751 Twinbrook Pkwy
1St. Floor
Rockville, MD 20851-1400

Mailing address

6 Almanac CT
Burtonsville, MD 20866-1945
Phone (301) 838-4104

Other identifiers 1

IdentifierTypeStateIssuer
169823100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20240424003399 DC Practitioner - Mental Health Counselor 8224478268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cornerstone Montgomery IncGroup PAC ID 3971591751, 23 clinicians

Practice addresses (Care Compare)

2 Taft CT
Suite 200
Rockville, MD 20850-1390
Phone (301) 715-3673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LC1698MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Montgomery, Inc. CurrentSince Feb 21, 2024 Accepting new patients
Cornerstone Montgomery, Inc. CurrentSince Feb 21, 2024 Accepting new patients

Locations

6040 Southport Dr
Bethesda, MD 20814
Phone 3014934200228

2 Taft Ct
Ste 200
Rockville, MD 20850
Phone (301) 715-3673

751 Twinbrook Pkwy
Ste 1
Rockville, MD 20851
Phone (301) 838-4100

1398 Lamberton Dr
Silver Spring, MD 20902
Phone (301) 754-1102

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1104905454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ALMANAC CT",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661945",
            "telephone_number": "301-838-4104",
            "fax_number": "301-315-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 TWINBROOK PKWY",
            "address_2": "1ST. FLOOR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208511400",
            "telephone_number": "301-838-4104",
            "fax_number": "301-315-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABASELA",
        "first_name": "NAOMI",
        "middle_name": "CATHERINE",
        "name_prefix": "Ms.",
        "credential": "LCPC, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC1698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169823100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.