Individual provider Active NPI

Karlice Moss-Teams, LCPC

  • Counselor
  • Largo, MD
National Provider Identifier
1144571068
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LC5573 Issued in MD
Practice address
9701 Apollo Drive
Suite 301
Largo, MD 20774-4790
Phone
(301) 455-8804
NPI assigned
Oct 2, 2012
Last updated
Jan 29, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LC5573 MD Primary
Professional Counselor 101YP2500X LC5573 MD

Addresses

Primary practice location

9701 Apollo Drive
Suite 301
Largo, MD 20774-4790

Mailing address

9701 Apollo Drive
Suite 301
Largo, MD 20774-4790
Phone (301) 455-8804

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
I20240327000590 MD Practitioner - Mental Health Counselor 5193162014 Reassigns benefits to 2 organizations
I20240327001247 DC Practitioner - Mental Health Counselor 5193162014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Way Station IncGroup PAC ID 8628064151, 25 clinicians

Practice addresses (Care Compare)

9030 State Route 108
Suite a
Columbia, MD 21045-1990
Phone (410) 740-1901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC5573MDMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Way Station, Inc. Current Accepting new patients
Mosaic Community Services, Inc. Current Accepting new patients
Mosaic Community Services, Inc. CurrentSince Feb 13, 2024 Accepting new patients
Mosaic Community Services, Inc CurrentSince Feb 13, 2024 Accepting new patients
Family Services, Inc CurrentSince Feb 13, 2024 Accepting new patients
Family Services, Inc. CurrentSince Feb 13, 2024 Accepting new patients

Locations

2225 N Charles St
Baltimore, MD 21218
Phone (410) 366-4360

210 Abrecht Pl
Frederick, MD 21701
Phone (301) 663-8263

610 E Diamond Ave
Ste 100
Gaithersburg, MD 20877
Phone (301) 840-2000

328 N Potomac St
Hagerstown, MD 21740
Phone (410) 740-1901

849 Fairmount Ave
Fl 5
Towson, MD 21286

Organizations & group practices 7

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": "1349136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1144571068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 APOLLO DRIVE",
            "address_2": "SUITE 301",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207744790",
            "telephone_number": "301-455-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 APOLLO DRIVE",
            "address_2": "SUITE 301",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207744790",
            "telephone_number": "301-455-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS-TEAMS",
        "first_name": "KARLICE",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-02",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LC5573",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC5573",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, MD

Sources for this page

Verify at the official NPI Registry.