Active NPI
Reginald Cunningham
- Professional Counselor
- Baltimore, MD
National Provider Identifier
1316293756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC4114
- Practice address
- 939 Saint Paul St
Unit 3
Baltimore, MD 21202-2560 - Phone
- (410) 961-7192
- Fax
- (301) 386-1046
- NPI assigned
- Aug 2, 2012
- Last updated
- Jun 29, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC4114 | MD | Primary |
Addresses
Primary practice location
939 Saint Paul St
Unit 3
Baltimore, MD 21202-2560
Mailing address
635 Palmerton Ter
Landover, MD 20785-5901
Phone (410) 961-7192
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2490 Market St NE
Unit 362
Washington, DC 20018-3851
Phone (443) 415-2328
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC4114 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Solutions, LLC | Mental Health | Current | Accepting new patients |
Locations
2490 Market St NE
Washington, DC 20018
Phone (202) 679-4212
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, 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": "1343865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624924800000",
"number": "1316293756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 PALMERTON TER",
"city": "LANDOVER",
"state": "MD",
"postal_code": "207855901",
"telephone_number": "410-961-7192",
"fax_number": "301-386-1046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "939 SAINT PAUL ST",
"address_2": "UNIT 3",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212022560",
"telephone_number": "410-961-7192",
"fax_number": "301-386-1046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "REGINALD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-02",
"last_updated": "2021-06-29",
"certification_date": "2021-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC4114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.