Active NPI
Marilyn B Spenadel, MS, LCPC, NCC
- Professional Counselor
- Rockville, MD
National Provider Identifier
1356627673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC 4078
- Practice address
- 10920 Earlsgate LN
Rockville, MD 20852-4552 - Phone
- (240) 426-8344
- NPI assigned
- Nov 1, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | LC 4078 | MD | Primary |
Addresses
Primary practice location
10920 Earlsgate LN
Rockville, MD 20852-4552
Mailing address
10920 Earlsgate LN
Rockville, MD 20852-4552
Phone (240) 426-8344
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6209 Executive Blvd
Rockville, MD 20852-3906
Phone (240) 426-8344
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC 4078 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Authentically U Counseling | Professional | Current | Accepting new patients |
Locations
6209 Executive Blvd
Rockville, MD 20852
Phone (240) 426-8344
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": "1320105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320105600000",
"number": "1356627673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10920 EARLSGATE LN",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524552",
"telephone_number": "240-426-8344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10920 EARLSGATE LN",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524552",
"telephone_number": "240-426-8344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENADEL",
"first_name": "MARILYN",
"middle_name": "B",
"name_prefix": "Ms.",
"credential": "MS, LCPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-01",
"last_updated": "2011-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC 4078",
"primary": true
}
],
"identifiers": [],
"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 Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.