Individual provider Active NPI

Diana Andrea Gayle, LCPC

  • Professional Counselor
  • Hampstead, MD
National Provider Identifier
1114570611
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC17745 Issued in MD
Practice address
4500 Black Rock Rd Ste 103
Hampstead, MD 21074-2649
Phone
(877) 806-1501
NPI assigned
Jul 23, 2019
Last updated
May 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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 LC17745 MD Primary
Behavior Technician 106S00000X NU

Addresses

Primary practice location

4500 Black Rock Rd Ste 103
Hampstead, MD 21074-2649

Mailing address

19619 Crystal Rock Dr Apt 23
Germantown, MD 20874-4862
Phone (240) 264-9819

Other practice location 1

1900 N Howard St
Baltimore, MD 21218-5909
Phone (443) 203-5510

Other practice location 2

11921 Rockville Pike Ste 402
Rockville, MD 20852-2757
Phone (571) 977-6870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20260603002277 MD Practitioner - Mental Health Counselor 4082185764 Reassigns benefits to 1 organization
I20260603002433 DC Practitioner - Mental Health Counselor 4082185764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Pittsburgh, PA 15251

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC17745MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Associates in Psychiatry PC Mental Health CurrentSince Apr 21, 2026 Accepting new patients
Columbia Associates in Psychiatry PC Mental Health CurrentSince Apr 21, 2026 Accepting new patients
Alleviation Counseling Service LLC Current Accepting new patients

Locations

11921 Rockville Pike
Ste 402
Rockville, MD 20852
Phone (425) 658-2254

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1114570611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19619 CRYSTAL ROCK DR APT 23",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208744862",
            "telephone_number": "240-264-9819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 BLACK ROCK RD STE 103",
            "city": "HAMPSTEAD",
            "state": "MD",
            "postal_code": "210742649",
            "telephone_number": "877-806-1501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 N Howard St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212185909",
            "country_code": "US",
            "telephone_number": "443-203-5510",
            "fax_number": "443-773-5624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11921 Rockville Pike Ste 402",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208522757",
            "country_code": "US",
            "telephone_number": "571-977-6870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAYLE",
        "first_name": "DIANA",
        "middle_name": "ANDREA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC17745",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampstead, MD

Sources for this page

Verify at the official NPI Registry.