Individual provider Active NPI

Debra Ament, LCPC

  • Mental Health Counselor
  • Annapolis, MD
National Provider Identifier
1245675156
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC4901 Issued in MD
Practice address
415 Walnut Dr
Annapolis, MD 21403-4047
Phone
(410) 804-6968
NPI assigned
May 6, 2013
Last updated
Aug 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC4901 MD Primary

Addresses

Primary practice location

415 Walnut Dr
Annapolis, MD 21403-4047

Mailing address

415 Walnut Dr
Annapolis, MD 21403-4047
Phone (410) 804-6968

Other practice location 1

134 Holiday Ct Ste 312
Annapolis, MD 21401-7008
Phone (410) 804-6968

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240516001800 MD Practitioner - Mental Health Counselor 6709229404 Practice locations: Annapolis, MD

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

415 Walnut Dr
Annapolis, MD 21403-4047
Phone (410) 804-6968

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC4901MDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1245675156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 WALNUT DR",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214034047",
            "telephone_number": "410-804-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 WALNUT DR",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214034047",
            "telephone_number": "410-804-6968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "134 Holiday Ct Ste 312",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214017008",
            "country_code": "US",
            "telephone_number": "410-804-6968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMENT",
        "first_name": "DEBRA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-06",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC4901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.