Chester James Maddox Jr.
Individual provider Active NPI Mental Health Counselor · Cheltenham, MD
NPI 1124990619 · NPPES record last updated Sep 23, 2025
Key facts
- NPI
- 1124990619
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 10402 Angora Dr
Cheltenham, MD 20623-1046 - Phone
- (202) 641-1216
- NPI assigned
- Sep 23, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
10402 Angora Dr
Cheltenham, MD 20623-1046
Mailing address
10402 Angora Dr
Cheltenham, MD 20623-1046
Other providers in Cheltenham, MD
- Cherain Jordan
- Kaleidoscope Kollege
- Mathias Legeaju
- Brainda Lekealem
- Manjit Kaur Macker
- Shameeka Latoya McClain
- Berry-Anne Jones Emengu Nkafu
- Elvis Nonly
- Chiamaka Nwachukwu
- Rachel'S Wings
All providers in Cheltenham, MD · Mental Health Counselor in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.