Individual provider Active NPI

Deborah Lynn Devincent, LCPC

  • Counselor
  • Eldersburg, MD
National Provider Identifier
1336555937
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LC6876 Issued in MD
Practice address
1425 Liberty Rd
Suite 206
Eldersburg, MD 21784-6420
Phone
(410) 952-9966
Fax
(410) 552-9404
NPI assigned
Jul 3, 2014
Last updated
Feb 2, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LC6876 MD Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X LC6876 MD
Mental Health Counselor 101YM0800X LC6876 MD
Professional Counselor 101YP2500X LC6876 MD

Addresses

Primary practice location

1425 Liberty Rd
Suite 206
Eldersburg, MD 21784-6420

Mailing address

5614 Compton LN
Eldersburg, MD 21784-8868
Phone (410) 952-9966

Other identifiers 1

IdentifierTypeStateIssuer
LC6876OtherMDMARYLAND BOARD OF PROFESSIONAL COUNSELORS AND THERAPISTS

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

LicenseStateTypeSpecialty
LC6876MDMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Foundations Counseling Center LLC Professional Current Accepting new patients

Locations

1425 Liberty Rd
Ste 206
Eldersburg, MD 21784
Phone (240) 319-3917

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": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1336555937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5614 COMPTON LN",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217848868",
            "telephone_number": "410-952-9966",
            "fax_number": "410-552-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 LIBERTY RD",
            "address_2": "SUITE 206",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846420",
            "telephone_number": "410-952-9966",
            "fax_number": "410-552-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINCENT",
        "first_name": "DEBORAH",
        "middle_name": "LYNN",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-03",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LC6876",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LC6876",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC6876",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC6876",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND BOARD OF PROFESSIONAL COUNSELORS AND THERAPISTS",
            "identifier": "LC6876",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.