Active NPI
Cristine Werneck
- Professional Counselor
- Columbia, MD
National Provider Identifier
1205456829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC2049
- Practice address
- 5410 Lynx LN Ste 285
Columbia, MD 21044-2483 - Phone
- (410) 740-3240
- Fax
- (617) 807-0958
- NPI assigned
- Apr 23, 2020
- Last updated
- Mar 21, 2022
- Sex
- Female
- Sole proprietor
- No
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 | LC2049 | MD | Primary |
Addresses
Primary practice location
5410 Lynx LN Ste 285
Columbia, MD 21044-2483
Mailing address
1000 Jefferson St Ste 2C
Lynchburg, VA 24504-1724
Phone (215) 874-8002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 17, 2024 through Dec 17, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC2049 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Current | Accepting new patients | |
| Werneck | Professional | Current | Accepting new patients |
Locations
5410 Lynx Ln
Ste 285
Columbia, MD 21044
Phone (410) 740-3240
1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Columbia, MD
- NPI 1295483667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647820800000",
"number": "1205456829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 JEFFERSON ST STE 2C",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245041724",
"telephone_number": "215-874-8002",
"fax_number": "617-807-0958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5410 LYNX LN STE 285",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210442483",
"telephone_number": "410-740-3240",
"fax_number": "617-807-0958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERNECK",
"first_name": "CRISTINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-23",
"last_updated": "2022-03-21",
"certification_date": "2022-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC2049",
"primary": true
}
],
"identifiers": [],
"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 Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.