Individual provider Active NPI

David Lee Tong

  • Professional Counselor
  • Olney, MD
National Provider Identifier
1174194005
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC13969 Issued in MD
Practice address
4817 Willow Stead Dr
Olney, MD 20832-2084
Phone
(301) 842-7431
NPI assigned
Jul 1, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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 LC13969 MD Primary

Addresses

Primary practice location

4817 Willow Stead Dr
Olney, MD 20832-2084

Mailing address

4817 Willow Stead Dr
Olney, MD 20832-2084
Phone (301) 318-8810

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
I20240229002907 MD Practitioner - Mental Health Counselor 0244675254 Reassigns benefits to 1 organization
I20240229003283 DC Practitioner - Mental Health Counselor 0244675254 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Quince Orchard Psychotherapy LLCGroup PAC ID 5395194302, 30 clinicians

Practice addresses (Care Compare)

10 N Jefferson St
Suite 202
Frederick, MD 21701-4865
Phone (240) 750-6467

9707 Key W Ave
Suite 100
Rockville, MD 20850-3992
Phone (240) 750-6467

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC13969MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Quince Orchard Psychotherapy LLC Professional CurrentSince Jan 1, 2024 Accepting new patients
Oasis the Mental Health Center, LLC CurrentSince Jul 1, 2025 Accepting new patients
Greater Baltimore Counseling Center, LLC Professional PastSince Feb 1, 1996 Accepting new patients
Oasis the Mental Health Center, LLC Past Accepting new patients
Quince Orchard Psychotherapy LLC Past Accepting new patients
Life Counseling, LLC PastSince Sep 1, 2022 Accepting new patients

Locations

175 Admiral Cochrane Dr
Ste 110
Annapolis, MD 21401
Phone (410) 571-0888

175 Admiral Cochrane Dr
Ste 101B
Annapolis, MD 21401
Phone 41076090790

1212 E Churchville Rd
Ste 200
Bel Air, MD 21014
Phone (410) 428-0018

111 Warren Rd
Ste 3A
Cockeysville, MD 21030
Phone (443) 406-6546

10 N Jefferson St
Ste 202
Frederick, MD 21701
Phone (240) 750-6468

30 Greenway St NW
Ste 5
Glen Burnie, MD 21061
Phone 41076090790

9608 Belair Rd
Nottingham, MD 21236
Phone (443) 595-7627

1363 Becknel Ave
Odenton, MD 21113
Phone (240) 381-7900

1850 York Rd
Ste K
Timonium, MD 21093
Phone (410) 410-7609

Organizations & group practices 6

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": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1174194005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4817 WILLOW STEAD DR",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208322084",
            "telephone_number": "301-318-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4817 WILLOW STEAD DR",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208322084",
            "telephone_number": "301-842-7431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONG",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-01",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC13969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, MD

Sources for this page

Verify at the official NPI Registry.