Individual provider Active NPI

Bobbi-Jo Gross-Zell, LCPC

  • Professional Counselor
  • Rising Sun, MD
National Provider Identifier
1356637862
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC2030 Issued in MD
Practice address
101 Colonial Way
Suite a
Rising Sun, MD 21911-2272
Phone
(443) 907-8245
NPI assigned
Jun 22, 2011
Last updated
Sep 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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 LC2030 MD Primary

Addresses

Primary practice location

101 Colonial Way
Suite a
Rising Sun, MD 21911-2272

Mailing address

32 Naylor Blue CT
Port Deposit, MD 21904-1230
Phone (443) 907-8245

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
I20241122000382 MD Practitioner - Mental Health Counselor 0446785877 Receives reassigned benefits from 1 practitioner
Practice locations: Rising Sun, MD

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 Colonial Way
Suite a
Rising Sun, MD 21911-2272
Phone (443) 907-8245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC2030MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling Service Professional CurrentSince Jan 21, 2024 Accepting new patients

Locations

101 Colonial Way
Ste A
Rising Sun, MD 21911
Phone (410) 658-6696

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1356637862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 NAYLOR BLUE CT",
            "city": "PORT DEPOSIT",
            "state": "MD",
            "postal_code": "219041230",
            "telephone_number": "443-907-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 COLONIAL WAY",
            "address_2": "SUITE A",
            "city": "RISING SUN",
            "state": "MD",
            "postal_code": "219112272",
            "telephone_number": "443-907-8245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS-ZELL",
        "first_name": "BOBBI-JO",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC2030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rising Sun, MD

Sources for this page

Verify at the official NPI Registry.