Active NPI
Christy A Denckla, LMHC, NCC
- Mental Health Counselor
- La Plata, MD
National Provider Identifier
1255581294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 004083
- Practice address
- 6100 Radio Station Rd
La Plata, MD 20646 - Phone
- (718) 249-3703
- NPI assigned
- Sep 26, 2008
- Last updated
- Jun 21, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 004083 | NY | Primary |
| Professional Counselor | 101YP2500X | 232504 | NC |
Addresses
Primary practice location
6100 Radio Station Rd
La Plata, MD 20646
Mailing address
1738 L St NE
Washington, DC 20002-3010
Phone (718) 249-3703
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9806130 | Other | NY | AETNA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 004083 | NY | MD | Mental Health Counselor |
| 232504 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340236800000",
"number": "1255581294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1738 L ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200023010",
"telephone_number": "718-249-3703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 RADIO STATION RD",
"city": "LA PLATA",
"state": "MD",
"postal_code": "20646",
"telephone_number": "718-249-3703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENCKLA",
"first_name": "CHRISTY",
"middle_name": "A",
"credential": "LMHC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-26",
"last_updated": "2012-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "004083",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "232504",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9806130",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in La Plata, MD
- Tia M. Deloatch, LCSW-C
- Delphi Healthcare Partners of Maryland, LLC (LaPlata Surgery Services)
- Delphi Healthcare Partners of Maryland, LLC (LaPlata Emergency Physicians)
- Delphi Healthcare Partners of Maryland, LLC (LaPlata Pediatric Hospitalists)
- Delphi Healthcare Partners of Maryland, LLC (LaPlata Physician Services)
- Elaine Denning, LCPC
- Dentistry for Children of Maryland, LLC
- Holly Desantis, LCSW-C
- Catherine Deshetler, LCSW-C
- Lindsay Ilene Dibastiani, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.