Active NPI
Dustin Menick, LCPC
- Professional Counselor
- Bethesda, MD
National Provider Identifier
1316324130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC4885
- Practice address
- 4815 Saint Elmo Ave
Suite 100
Bethesda, MD 20814-7061 - Phone
- (301) 257-8833
- NPI assigned
- Apr 30, 2015
- Sex
- Female
- Sole proprietor
- No
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 | LC4885 | MD | Primary |
Addresses
Primary practice location
4815 Saint Elmo Ave
Suite 100
Bethesda, MD 20814-7061
Mailing address
8309 Snug Hill LN
Potomac, MD 20854-4057
Phone (301) 257-8833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC4885 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430352000000",
"number": "1316324130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8309 SNUG HILL LN",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208544057",
"telephone_number": "301-257-8833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4815 SAINT ELMO AVE",
"address_2": "SUITE 100",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208147061",
"telephone_number": "301-257-8833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENICK",
"first_name": "DUSTIN",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-30",
"last_updated": "2015-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC4885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.