Individual provider Active NPI

David Listhaus, LGPC, NCC

  • Mental Health Counselor
  • Baltimore, MD
National Provider Identifier
1164994018
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC11559 Issued in MD
Practice address
8 Church LN
Baltimore, MD 21208-3721
Phone
(410) 357-1002
NPI assigned
Dec 17, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC11559 MD Primary

Addresses

Primary practice location

8 Church LN
Baltimore, MD 21208-3721

Mailing address

6404 Apollo Dr Apt E
Baltimore, MD 21209-2921
Phone (973) 908-4045

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

LicenseStateTypeSpecialty
LC11559MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Calm Mind Therapy Center Mental Health CurrentSince Apr 30, 2023 Accepting new patients

Locations

8 Church Ln
Pikesville, MD 21208
Phone (410) 241-6317

Organizations & group practices 1

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": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1164994018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6404 APOLLO DR APT E",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092921",
            "telephone_number": "973-908-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CHURCH LN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212083721",
            "telephone_number": "410-357-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISTHAUS",
        "first_name": "DAVID",
        "credential": "LGPC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-17",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC11559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.