Individual provider Active NPI

Richard Anthony Dulaney, LCPC

  • Mental Health Counselor
  • Columbia, MD
National Provider Identifier
1184199614
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC9323 Issued in MD
Practice address
6123 Cedar Wood Dr
Columbia, MD 21044-3676
Phone
(301) 452-2336
NPI assigned
Oct 11, 2018
Last updated
Jul 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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 LC9323 MD Primary

Addresses

Primary practice location

6123 Cedar Wood Dr
Columbia, MD 21044-3676

Mailing address

6123 Cedar Wood Dr
Columbia, MD 21044-3676
Phone (301) 452-2336

Other identifiers 1

IdentifierTypeStateIssuer
00000000MedicaidMD

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
LC9323MDMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1184199614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6123 CEDAR WOOD DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443676",
            "telephone_number": "301-452-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6123 CEDAR WOOD DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443676",
            "telephone_number": "301-452-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULANEY",
        "first_name": "RICHARD",
        "middle_name": "ANTHONY",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-11",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC9323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; 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.