Individual provider Active NPI

Queenesha Grace Maedell Herbert, LCPC, ACS, C-DBT

  • Professional Counselor
  • Hyattsville, MD
National Provider Identifier
1346769544
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC10055 Issued in MD
Practice address
5557 Baltimore Ave Ste 500-2084
Hyattsville, MD 20781-1922
Phone
(240) 316-4666
NPI assigned
Sep 19, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X LC10055 MD Primary

Addresses

Primary practice location

5557 Baltimore Ave Ste 500-2084
Hyattsville, MD 20781-1922

Mailing address

5557 Baltimore Ave Ste 500-2084
Hyattsville, MD 20781-1922
Phone (240) 316-4666

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240304000017 DC Practitioner - Mental Health Counselor 2062857840 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC10055MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
United Counseling and Support Services Mental Health CurrentSince Jan 1, 2024 Accepting new patients
United Counseling and Support Services Mental Health CurrentSince Jan 1, 2024 Accepting new patients
A Time & a Place Wellness and Consulting, LLC CurrentSince May 1, 2022 Accepting new patients

Locations

5557 Baltimore Ave
Hyattsville, MD 20781
Phone (202) 656-3064

9701 Apollo Dr
Ste 100
Uppr Marlboro, MD 20774
Phone (240) 487-6934

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1346769544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5557 BALTIMORE AVE STE 500-2084",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207811922",
            "telephone_number": "240-316-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5557 BALTIMORE AVE STE 500-2084",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207811922",
            "telephone_number": "240-316-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBERT",
        "first_name": "QUEENESHA",
        "middle_name": "GRACE MAEDELL",
        "credential": "LCPC, ACS, C-DBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-19",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC10055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

Verify at the official NPI Registry.