Active NPI
Glenda Marie Augustine
- Mental Health Counselor
- Rockville, MD
National Provider Identifier
1164389003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 33989
- Practice address
- 15204 Omega Dr Ste 100
Rockville, MD 20850-4812 - Phone
- (301) 279-6750
- NPI assigned
- Jan 5, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 33989 | MD | |
| Mental Health Counselor | 101YM0800X | 33989 | MD | Primary |
Addresses
Primary practice location
15204 Omega Dr Ste 100
Rockville, MD 20850-4812
Mailing address
7 Nocturne CT
Rockville, MD 20850-2852
Phone (301) 442-4490
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33989 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767571200000",
"number": "1164389003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 NOCTURNE CT",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208502852",
"telephone_number": "301-442-4490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15204 OMEGA DR STE 100",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208504812",
"telephone_number": "301-279-6750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUGUSTINE",
"first_name": "GLENDA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-05",
"last_updated": "2026-01-05",
"certification_date": "2026-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "33989",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "33989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.