Individual provider Active NPI

Julie Mahoney, LGPC

  • Professional Counselor
  • Greenbelt, MD
National Provider Identifier
1356809818
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8008 Issued in SC
Practice address
7474 Greenway Center Dr Ste 202
Greenbelt, MD 20770-3504
Phone
(240) 304-3327
NPI assigned
Mar 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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 8008 SC Primary

Addresses

Primary practice location

7474 Greenway Center Dr Ste 202
Greenbelt, MD 20770-3504

Mailing address

3173 Hugh Bennett Dr
Johns Island, SC 29455-3473
Phone (952) 922-2912

Other practice location 1

Julie Mahoney
4642 Woodberry Street
Riverdale, MD 20737
Phone (952) 922-2912

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
8008SCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1356809818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3173 HUGH BENNETT DR",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294553473",
            "telephone_number": "952-922-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7474 GREENWAY CENTER DR STE 202",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703504",
            "telephone_number": "240-304-3327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Julie Mahoney",
            "address_2": "4642 Woodberry Street",
            "address_purpose": "LOCATION",
            "city": "Riverdale",
            "state": "MD",
            "postal_code": "20737",
            "country_code": "US",
            "telephone_number": "952-922-2912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "JULIE",
        "credential": "LGPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-04",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "8008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.