Individual provider Active NPI

Rodrique Sumpter, LCPC

  • Professional Counselor
  • Dundalk, MD
National Provider Identifier
1376181792
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC10095 Issued in MD
Practice address
23 Shipping PL
Dundalk, MD 21222-4318
Phone
(410) 282-5401
NPI assigned
Dec 16, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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 LC10095 MD Primary

Addresses

Primary practice location

23 Shipping PL
Dundalk, MD 21222-4318

Mailing address

5 Warren Lodge CT Apt 2C
Cockeysville, MD 21030-2552
Phone (443) 453-6119

Other practice location 1

1520 Cedarwood Dr
Bel Air, MD 21014-2108
Phone (443) 453-6119

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
I20250708002867 MD Practitioner - Mental Health Counselor 6406395672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
National Pike Health CenterGroup PAC ID 7113254988, 9 clinicians

Practice addresses (Care Compare)

5411 Old Frederick Rd
Suite 13
Baltimore, MD 21229-2126
Phone (410) 744-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC10095MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
National Pike Health Center CurrentSince Jun 29, 2025 Accepting new patients

Locations

5411 Old Frederick Rd
Ste 13
Baltimore, MD 21229
Phone (410) 744-8100

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": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1376181792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WARREN LODGE CT APT 2C",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210302552",
            "telephone_number": "443-453-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 SHIPPING PL",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212224318",
            "telephone_number": "410-282-5401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 Cedarwood Dr",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210142108",
            "country_code": "US",
            "telephone_number": "443-453-6119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMPTER",
        "first_name": "RODRIQUE",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-16",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC10095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dundalk, MD

Sources for this page

Verify at the official NPI Registry.