Active NPI
Dawn M Chamberlain, LCPC
- Professional Counselor
- Columbia, MD
National Provider Identifier
1235184136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC0321
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| LC0321 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Clinic/Center
- Largo, MD
- NPI 1306881057
-
- Clinic/Center
- Largo, MD
- NPI 1942462049
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.