Individual provider Active NPI

Evelyn Maye

  • Professional Counselor
  • Upper Marlboro, MD
National Provider Identifier
1265854392
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PRC14450 Issued in DC
Practice address
9440 Marlboro Ave Ste 330
Upper Marlboro, MD 20772-3659
Phone
(301) 899-2210
Fax
(888) 205-3238
NPI assigned
Jan 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 699 MD
Addiction (Substance Use Disorder) Counselor 101YA0400X CAC11043 DC
Professional Counselor 101YP2500X 115023 DC
Professional Counselor 101YP2500X PRC14450 DC Primary

Addresses

Primary practice location

9440 Marlboro Ave Ste 330
Upper Marlboro, MD 20772-3659

Mailing address

1629 K St NW
#300
Washington, DC 20006-1602
Phone (301) 899-2210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
699MDMDCounselor
CAC11043DCMDAddiction (Substance Use Disorder) Counselor
115023DCMDProfessional Counselor
PRC14450DCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Assurance Quality Care Addiction (Substance Use Disorder) CurrentSince May 9, 2017 Accepting new patients

Locations

1629 K St NW
Ste 300
Washington, DC 20006
Phone (202) 922-6630

9440 Marlboro Pike
Ste 330
Upper Marlboro, MD 20772
Phone (301) 899-2210

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1389139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1265854392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 K ST NW",
            "address_2": "#300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061602",
            "telephone_number": "301-899-2210",
            "fax_number": "888-205-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9440 MARLBORO AVE STE 330",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723659",
            "telephone_number": "301-899-2210",
            "fax_number": "888-205-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYE",
        "first_name": "EVELYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-08",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "699",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DC",
            "license": "CAC11043",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "115023",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC14450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

Verify at the official NPI Registry.