NPIMap

Individual provider Active NPI

Doris Jean McDonald, LCPC, LCADC

  • Counselor
  • Prince Frederick, MD
National Provider Identifier
1245421601
Registry record updated May 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LC0924 Issued in MD
Practice address
975 N Solomons Island Rd
Prince Frederick, MD 20678
Phone
(410) 535-3079
Fax
(410) 535-2220
NPI assigned
Aug 9, 2007
Last updated
May 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LC0924 MD Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCA058 MD

Addresses

Primary practice location

975 N Solomons Island Rd
Prince Frederick, MD 20678

Mailing address

PO Box 1158
975 N Solomons Island Rd
Prince Frederick, MD 20678-1158
Phone (410) 535-3079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231228003175 MD Practitioner - Mental Health Counselor 9739408204 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

22776 Three Notch Rd
Suite 200
Lexington Park, MD 20653-3370
Phone (301) 750-2659

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC0924MDMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Calvert County Health Department CurrentSince Jan 31, 2015 Accepting new patients
Calvert County Health Department Current Accepting new patients
McDonald Clinical Services, LLC Counselor CurrentSince Jun 2, 2024 Accepting new patients
Calvert County Health Department CurrentSince Jan 1, 2024 Accepting new patients

Locations

22776 Three Notch Rd
Ste 200
Lexington Park, MD 20653
Phone (301) 640-5648

280 Stafford Rd
Prince Frederick, MD 20678
Phone (410) 535-3079

975 Solomons Island Rd N
Prnc Frederck, MD 20678
Phone (410) 535-5400

975 Solomons Island Rd N
Ste 119
Prnc Frederck, MD 20678
Phone (410) 535-5400

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463184000000",
    "number": "1245421601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1158",
            "address_2": "975 N SOLOMONS ISLAND RD",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206781158",
            "telephone_number": "410-535-3079",
            "fax_number": "410-535-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 N SOLOMONS ISLAND RD",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "20678",
            "telephone_number": "410-535-3079",
            "fax_number": "410-535-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "DORIS",
        "middle_name": "JEAN",
        "credential": "LCPC, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-09",
        "last_updated": "2016-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LC0924",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LCA058",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

Verify at the official NPI Registry.