Individual provider Active NPI

Olivia Violet Oates, LGPC

  • Professional Counselor
  • Frederick, MD
National Provider Identifier
1316696594
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LGP12176 Issued in MD
Practice address
300 W 9TH St
Frederick, MD 21701-4541
Phone
(443) 221-1432
NPI assigned
Mar 23, 2022
Last updated
Mar 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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 LGP12176 MD Primary

Addresses

Primary practice location

300 W 9TH St
Frederick, MD 21701-4541

Mailing address

1336 Taney Ave Apt 101
Frederick, MD 21702-4270
Phone (443) 221-1432

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
I20240206000616 MD Practitioner - Mental Health Counselor 4981047065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

300 W 9TH St
Frederick, MD 21701-4541
Phone (667) 600-3310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LGP12176MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Catholic Charities CurrentSince Jan 24, 2024 Accepting new patients
Associated Catholic Charities, Inc. Current Accepting new patients
Associated Catholic Charities, Inc CurrentSince Jan 24, 2024 Accepting new patients

Locations

308 Virginia Ave
Cumberland, MD 21502
Phone (667) 600-2110

300 W 9th St
Frederick, MD 21701
Phone (301) 662-8119

2300 Dulaney Valley Rd
Ste B
Timonium, MD 21093

Organizations & group practices 3

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": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1316696594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 TANEY AVE APT 101",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024270",
            "telephone_number": "443-221-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W 9TH ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014541",
            "telephone_number": "443-221-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OATES",
        "first_name": "OLIVIA",
        "middle_name": "VIOLET",
        "name_prefix": "Miss",
        "credential": "LGPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP12176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.