Individual provider Active NPI

Danielle Roncone, LCPC

  • Professional Counselor
  • Hagerstown, MD
National Provider Identifier
1154521896
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC2697 Issued in MD
Practice address
13215 Brook Lane
Hagerstown, MD 21742-1514
Phone
(301) 733-0331
Fax
(301) 733-4038
NPI assigned
Jul 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 LC2697 MD Primary

Addresses

Primary practice location

13215 Brook Lane
Hagerstown, MD 21742-1514

Mailing address

13121 Brook Lane
Hagerstown, MD 21742-1514
Phone (301) 733-0330

Other practice location 1

13215 Brook Lane Drive
Hagerstown, MD 21742-1945
Phone (301) 733-0331 ext. 1184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20240124000713 MD Practitioner - Mental Health Counselor 9436510096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Antietam Family Health, LLCGroup PAC ID 6406228246, 7 clinicians

Practice addresses (Care Compare)

1101 Opal CT
Suite 217
Hagerstown, MD 21740-5941

1219 Mount Aetna Rd
Suite 201
Hagerstown, MD 21742-6550
Phone (240) 203-8864

13121 Brooklane Dr
Hagerstown, MD 21742-1514

17906 College Rd
Hagerstown, MD 21740-1710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Antietam Family Health, LLC Professional CurrentSince Jan 1, 2024 Accepting new patients
Antietam Family Health, LLC Professional PastSince Jul 1, 2023 Accepting new patients
Antietam Family Health LLC Professional PastSince Jul 1, 2023 Accepting new patients
Antietam Family Health, LLC Professional PastSince Jul 1, 2023 Accepting new patients
Antietam Family Health LLC Professional PastSince Jul 1, 2023 Accepting new patients
Antietam Family Health LLC Professional PastSince Jul 1, 2023 Accepting new patients
Antietam Family Health, LLC Professional PastSince Jul 1, 2023 Accepting new patients
Antietam Family Health, LLC PastSince Jul 1, 2023 Accepting new patients
Antietam Family Health, LLC PastSince Jul 1, 2023 Accepting new patients

Locations

427 E Patrick St
Frederick, MD 21701
Phone (240) 203-8864

330 Frederick St
Hagerstown, MD 21740
Phone (240) 203-8864

1219 Mount Aetna Rd
Ste 201
Hagerstown, MD 21742
Phone (240) 203-8864

1219 Mount Aetna Rd
Ste 300
Hagerstown, MD 21742
Phone (240) 203-8864

Interoperability endpoints

  • Direct secure messaging: antietamfamilyhealth.danielleroncone@157764.advancedmd-direct.com

Organizations & group practices 9

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": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1154521896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13121 BROOK LANE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217421514",
            "telephone_number": "301-733-0330",
            "fax_number": "301-733-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13215 BROOK LANE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217421514",
            "telephone_number": "301-733-0331",
            "fax_number": "301-733-4038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13215 Brook Lane Drive",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217421945",
            "country_code": "US",
            "telephone_number": "301-733-0331 x1184",
            "fax_number": "301-733-4038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RONCONE",
        "first_name": "DANIELLE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC2697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.