Individual provider Active NPI

David Andrew Nieman, MS

  • Pastoral Counselor
  • Catonsville, MD
National Provider Identifier
1306151733
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
License
LGP3606 Issued in MD
Practice address
903 Edmondson Ave
Catonsville, MD 21228-4408
Phone
(410) 455-0098
Fax
(410) 455-0098
NPI assigned
Aug 10, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X LGP3606 MD Primary

Addresses

Primary practice location

903 Edmondson Ave
Catonsville, MD 21228-4408

Mailing address

903 Edmondson Ave
Catonsville, MD 21228-4408
Phone (410) 455-0098

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240826000238 MD Practitioner - Mental Health Counselor 5395975353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Loyola University of Chicago, Stritch School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Counseling Services LLCGroup PAC ID 8022248087, 2 clinicians

Practice addresses (Care Compare)

903 Edmondson Ave
Catonsville, MD 21228-4408
Phone (410) 455-0098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LGP3606MDMDPastoral Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Current Accepting new patients
Ascension Counseling Services, LLC CurrentSince Mar 10, 2014 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: davidnieman@tdh.allscriptsdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281398400000",
    "number": "1306151733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 EDMONDSON AVE",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284408",
            "telephone_number": "410-455-0098",
            "fax_number": "410-455-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 EDMONDSON AVE",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284408",
            "telephone_number": "410-455-0098",
            "fax_number": "410-455-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMAN",
        "first_name": "DAVID",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-10",
        "last_updated": "2010-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "MD",
            "license": "LGP3606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

Verify at the official NPI Registry.