Individual provider Active NPI

Atar Stav, LCPC-S, NCC

  • Mental Health Counselor
  • Gaithersburg, MD
National Provider Identifier
1225603145
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC13642 Issued in MD
Practice address
316 Main St Ste 200B
Gaithersburg, MD 20878-6551
Phone
(704) 303-1080
NPI assigned
May 24, 2021
Last updated
Aug 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Mental Health Counselor 101YM0800X LC13642 MD Primary

Addresses

Primary practice location

316 Main St Ste 200B
Gaithersburg, MD 20878-6551

Mailing address

316 Main St Ste 200B
Gaithersburg, MD 20878-6551
Phone (443) 840-9348

Other practice location 1

170 Jennifer Rd Ste 202
Annapolis, MD 21401-7909
Phone (443) 291-8090

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
LC13642MDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1225603145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 MAIN ST STE 200B",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208786551",
            "telephone_number": "443-840-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 MAIN ST STE 200B",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208786551",
            "telephone_number": "704-303-1080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 Jennifer Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214017909",
            "country_code": "US",
            "telephone_number": "443-291-8090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAV",
        "first_name": "ATAR",
        "credential": "LCPC-S, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC13642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.