Individual provider Active NPI

Judith A Semones, LCPC

  • Mental Health Counselor
  • Hollywood, MD
National Provider Identifier
1184735904
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC0505 Issued in MD
Practice address
44101 Airport View Drive
Hollywood, MD 20636
Phone
(301) 373-3065
Fax
(301) 373-6143
NPI assigned
Aug 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LC0505 MD Primary

Addresses

Primary practice location

44101 Airport View Drive
Hollywood, MD 20636

Mailing address

PO Box 129
Hollywood, MD 20636
Phone (301) 373-3065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20240206001534 MD Practitioner - Mental Health Counselor 7113360215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pathways IncGroup PAC ID 8527160597, 16 clinicians

Practice addresses (Care Compare)

44101 Airport View Dr
Hollywood, MD 20636-3145
Phone 3013733065241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Inc Current Accepting new patients
Pathways Inc CurrentSince Jan 1, 2024 Accepting new patients
Pathways Inc Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

44101 Airport View Dr
Hollywood, MD 20636
Phone (301) 373-3065

501 Main St
Ste 203
Prince Frederick, MD 20678
Phone (301) 373-3065

2670 Crain Hwy
Ste 300
Waldorf, MD 20601
Phone (301) 373-3065

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184735904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "HOLLYWOOD",
            "state": "MD",
            "postal_code": "20636",
            "telephone_number": "301-373-3065",
            "fax_number": "301-373-6143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44101 AIRPORT VIEW DRIVE",
            "city": "HOLLYWOOD",
            "state": "MD",
            "postal_code": "20636",
            "telephone_number": "301-373-3065",
            "fax_number": "301-373-6143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMONES",
        "first_name": "JUDITH",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC0505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, MD

Sources for this page

Verify at the official NPI Registry.