Active NPI
Evelyn Maye
- Professional Counselor
- Upper Marlboro, MD
National Provider Identifier
1265854392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PRC14450
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 699 | MD | MD | Counselor |
| CAC11043 | DC | MD | Addiction (Substance Use Disorder) Counselor |
| 115023 | DC | MD | Professional Counselor |
| PRC14450 | DC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Assurance Quality Care | Addiction (Substance Use Disorder) | Current | 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.
-
- Professional Counselor
- Upper Marlboro, MD
- NPI 1700264033
Addiction (Substance Use Disorder)
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.