Individual provider Active NPI

Roselynn Annette Vanderpool, LCPC, LPC, ATR-BC

  • Professional Counselor
  • Rockville, MD
National Provider Identifier
1346655024
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC016930 Issued in PA
Practice address
6238 Montrose Rd
Rockville, MD 20852-4119
Phone
(443) 840-9036
NPI assigned
Jun 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PRC14467 DC
Professional Counselor 101YP2500X PC016930 PA Primary
Professional Counselor 101YP2500X LC6104 MD
Art Therapist 221700000X ATC063 MD

Addresses

Primary practice location

6238 Montrose Rd
Rockville, MD 20852-4119

Mailing address

390 Commerce Dr
Fort Washington, PA 19034-2600
Phone (443) 840-9036

Other practice location 1

390 Commerce Dr
Fort Washington, PA 19034-2600
Phone (443) 840-9036

Other identifiers 1

IdentifierTypeStateIssuer
0840432-00MedicaidMD

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
PRC14467DCMDProfessional Counselor
LC6104MDMDProfessional Counselor
PC016930PAMDProfessional Counselor
ATC063MDMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Work of Art Therapy, LLC Professional Current Accepting new patients

Locations

6238 Montrose Rd
Rockville, MD 20852
Phone (240) 286-5486

390 Commerce Dr
Fort Washington, PA 19034
Phone (215) 259-8444

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1403308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1346655024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 COMMERCE DR",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190342600",
            "telephone_number": "443-840-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6238 MONTROSE RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524119",
            "telephone_number": "443-840-9036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "390 Commerce Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Washington",
            "state": "PA",
            "postal_code": "190342600",
            "country_code": "US",
            "telephone_number": "443-840-9036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDERPOOL",
        "first_name": "ROSELYNN",
        "middle_name": "ANNETTE",
        "credential": "LCPC, LPC, ATR-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-21",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC14467",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC016930",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC6104",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "MD",
            "license": "ATC063",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0840432-00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.