Individual provider Active NPI

Dawn M Chamberlain, LCPC

  • Professional Counselor
  • Columbia, MD
National Provider Identifier
1235184136
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC0321 Issued in MD
Practice address
5525 Twin Knolls Rd Ste 327
Columbia, MD 21045-3207
Phone
(410) 992-9149
Fax
(410) 992-9921
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC0321 MD Primary

Addresses

Primary practice location

5525 Twin Knolls Rd Ste 327
Columbia, MD 21045-3207

Mailing address

1400 Mercantile LN
Suite 232
Largo, MD 20774-5341
Phone (301) 583-0001

Other practice location 1

1400 Mercantile Ln
suite 232
Largo, MD 20774-5341
Phone (301) 583-0001

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC0321MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Counseling & Mentoring Services,Inc Past Accepting new patients
Community Counseling & Mentoring Services, Inc Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1235184136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 MERCANTILE LN",
            "address_2": "SUITE 232",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745341",
            "telephone_number": "301-583-0001",
            "fax_number": "301-583-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 TWIN KNOLLS RD STE 327",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453207",
            "telephone_number": "410-992-9149",
            "fax_number": "410-992-9921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Mercantile Ln",
            "address_2": "suite 232",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "MD",
            "postal_code": "207745341",
            "country_code": "US",
            "telephone_number": "301-583-0001",
            "fax_number": "301-583-3403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMBERLAIN",
        "first_name": "DAWN",
        "middle_name": "M",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC0321",
            "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 Jul 15, 2019; 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.