Individual provider Active NPI

Jill B. Lienhardt, L.C.P.C.

  • Professional Counselor
  • Owings, MD
National Provider Identifier
1285672287
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC1239 Issued in MD
Practice address
2021 Chaneyville Rd
Suite 102
Owings, MD 20736-4319
Phone
(410) 286-0664
Fax
(410) 286-2834
NPI assigned
Jun 2, 2006
Last updated
Dec 6, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC1239 MD Primary

Addresses

Primary practice location

2021 Chaneyville Rd
Suite 102
Owings, MD 20736-4319

Mailing address

PO Box 630973
Baltimore, MD 21263-0973
Phone (410) 286-0664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240402001097 MD Practitioner - Mental Health Counselor 0840638433 Reassigns benefits to 1 organization
I20240930003652 DC Practitioner - Mental Health Counselor 0840638433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Andrew T Gergely, MD and Associates, LLCGroup PAC ID 1456323237, 16 clinicians

Practice addresses (Care Compare)

3175 W Ward Rd
Suite 200
Dunkirk, MD 20754-3024
Phone (410) 286-0664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew T Gergely, MD & Associates, LLC CurrentSince Feb 26, 2024 Accepting new patients
Grow Healthcare Group PA Professional CurrentSince Aug 20, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3175 W Ward Rd
Ste 200
Dunkirk, MD 20754
Phone (410) 286-0664

2021 Chaneyville Rd
Ste 102
Owings, MD 20736
Phone (410) 286-0664

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1285672287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 630973",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212630973",
            "telephone_number": "410-286-0664",
            "fax_number": "410-286-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 CHANEYVILLE RD",
            "address_2": "SUITE 102",
            "city": "OWINGS",
            "state": "MD",
            "postal_code": "207364319",
            "telephone_number": "410-286-0664",
            "fax_number": "410-286-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIENHARDT",
        "first_name": "JILL",
        "middle_name": "B.",
        "credential": "L.C.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC1239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings, MD

Sources for this page

Verify at the official NPI Registry.