Active NPI
Renee Sandra Vanderstelt, LGPAT, #ATG321
- Professional Counselor
- Towson, MD
National Provider Identifier
1184334963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- ATG321
- Practice address
- 1010 Dulaney Valley Rd
Towson, MD 21204-2702 - Phone
- (410) 567-1117
- NPI assigned
- Dec 1, 2022
- Last updated
- Dec 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | ATG321 | MD | Primary |
Addresses
Primary practice location
1010 Dulaney Valley Rd
Towson, MD 21204-2702
Mailing address
6219 Windy Ridge Rd
Baldwin, MD 21013-9306
Phone (443) 909-0754
Other practice location 1
6219 Windy Ridge Rd
Baldwin, MD 21013-9306
Phone (443) 909-0754
Other names 1
- Ms. Renee Sandra Van Der Stelt
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 |
|---|---|---|---|
| ATG321 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balanced Living Counseling | Professional | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Chesapeake Mental Health Collaborative
- Professional Counselor
- Towson, MD
- NPI 1043748668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669852800000",
"number": "1184334963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6219 WINDY RIDGE RD",
"city": "BALDWIN",
"state": "MD",
"postal_code": "210139306",
"telephone_number": "443-909-0754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 DULANEY VALLEY RD",
"city": "TOWSON",
"state": "MD",
"postal_code": "212042702",
"telephone_number": "410-567-1117"
}
],
"practiceLocations": [
{
"address_1": "6219 Windy Ridge Rd",
"address_purpose": "LOCATION",
"city": "Baldwin",
"state": "MD",
"postal_code": "210139306",
"country_code": "US",
"telephone_number": "443-909-0754",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANDERSTELT",
"first_name": "RENEE",
"middle_name": "SANDRA",
"name_prefix": "Ms.",
"credential": "LGPAT, #ATG321",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-01",
"last_updated": "2022-12-01",
"certification_date": "2022-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "ATG321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RENEE",
"last_name": "VAN DER STELT",
"middle_name": "SANDRA",
"prefix": "MS.",
"credential": "LGPAT, #ATG321",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.