Judith Roehrs Kunnes, LCSWC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

23405 Issued in MD

Practice address

1311 Londontown Blvd Ste 130a
Eldersburg, MD 21784-6439

Phone

(410) 552-0773

Fax

(443) 200-0267

NPI assigned

Jan 10, 2007

Last updated

Oct 7, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cedar Ridge Counseling Centers, LLCGroup PAC ID 4981649738, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Cedar Ridge Counseling Centers LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Eldersburg, MD
  • NPI 1932103926
  Medicare reassignment Care Compare group NPD
• Balanced Resilience Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Eldersburg, MD
  • NPI 1669337226
  NPD
• Apex Counseling Services, LLC

  dba Apex Counseling Services

  • Psychologist
  • Columbus, OH
  • NPI 1407012750
  NPD (past)
• Apexmeds

  • Registered Nurse
  • Columbus, OH
  • NPI 1184095044
  NPD (past)
• Deer Oaks Geriatric Services P C

  dba Deer Oaks Consultation Services

  • Clinical Psychologist
  • San Antonio, TX
  • NPI 1134169287
  NPD (past)
• Deer Oaks Mental Health Associates PC

  • Clinical Psychologist
  • Las Cruces, NM
  • NPI 1134175763
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1265581839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2541 BARNES LN",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217846763",
            "telephone_number": "614-832-6928",
            "fax_number": "443-200-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 LONDONTOWN BLVD STE 130A",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846439",
            "telephone_number": "410-552-0773",
            "fax_number": "443-200-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNNES",
        "first_name": "JUDITH",
        "middle_name": "ROEHRS",
        "credential": "LCSWC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "23405",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0008743",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD SOCIAL WORK",
            "identifier": "23405",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Alan Kootz, PT
• Jennifer A Kottra, D.O
• Lori Kropfelder, NP
• Jeihun Kuack, RPH
• Rajat Kumar, DPT, OCS
• Kurt B. Linkoff, DDS, PA
• L.I.F.E., Inc. (L.I.F.E. Adult Medical Day Care - Eldersburg)
• Lane 4 PT and Performance, LLC
• Amber Langmeier, D.C.
• Sandra Lashley, PSYD

• Clinical Social Worker in Eldersburg, MD
• Providers in Eldersburg, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.