Peter Modlin, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LGP9411 Issued in MD

Practice address

8720 Georgia Ave Ste 906
Silver Spring, MD 20910-3635

Phone

(301) 893-4733

NPI assigned

Sep 15, 2022

Last updated

Dec 14, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Grow Your Mind Psychotherapy, LLC

  • Mental Health Counselor
  • Silver Spring, MD
  • NPI 1154991768
  NPD

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1376265322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E WEST HWY APT 1216",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209106211",
            "telephone_number": "301-893-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 GEORGIA AVE STE 906",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103635",
            "telephone_number": "301-893-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODLIN",
        "first_name": "PETER",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP9411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobile Medical Imaging, LLC
• Gina Mobley, LCPC
• Motunrayo Mobolaji-Lawal, MD
• Gina Modera, MOT, OTR/L
• Sheela D Modin, M.D.
• Shari Modlin, L.C.P.C
• Grace C Modozie
• Karol Moen, R.D.
• Marzieh Mofarrahi, FNP
• Lynne Meryl Mofenson, MD

• Mental Health Counselor in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.