Individual provider Active NPI

Emily Ann Vasseur, MS, LCPC

  • Mental Health Counselor
  • Bethesda, MD
National Provider Identifier
1174169098
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC11644 Issued in MD
Practice address
8120 Woodmont Ave Ste 840
Bethesda, MD 20814-2789
Phone
(802) 279-8039
Fax
(240) 623-9858
NPI assigned
Nov 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LGP9695 MD
Mental Health Counselor 101YM0800X LC11644 MD Primary

Addresses

Primary practice location

8120 Woodmont Ave Ste 840
Bethesda, MD 20814-2789

Mailing address

8120 Woodmont Ave Ste 840
Bethesda, MD 20814-2789
Phone (802) 279-8039

Other practice location 1

9520 Berger Rd Ste 302-304
Columbia, MD 21046-1501
Phone (301) 310-7005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20231213000256 DC Practitioner - Mental Health Counselor 5092164228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
One Mental Health LLCGroup PAC ID 6103294939, 14 clinicians

Practice addresses (Care Compare)

8120 Woodmont Ave
Suite 840
Bethesda, MD 20814-2789
Phone (240) 618-2889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LC11644MDMDMental Health Counselor
LGP9695MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
One Mental Health LLC CurrentSince Jan 1, 2024 Accepting new patients
Mountain View Wellness and Consulting LLC Current Accepting new patients

Locations

8120 Woodmont Ave
Ste 840
Bethesda, MD 20814
Phone (240) 618-2889

Organizations & group practices 2

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": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1174169098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 WOODMONT AVE STE 840",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142789",
            "telephone_number": "802-279-8039",
            "fax_number": "240-623-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 WOODMONT AVE STE 840",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142789",
            "telephone_number": "802-279-8039",
            "fax_number": "240-623-9858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9520 Berger Rd Ste 302-304",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210461501",
            "country_code": "US",
            "telephone_number": "301-310-7005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASSEUR",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "credential": "MS, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2023-12-04",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP9695",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC11644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.