Individual provider Active NPI

Christopher West Tabb III, LCPC

  • Professional Counselor
  • Berlin, MD
National Provider Identifier
1396167912
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC6686 Issued in MD
Practice address
314 Franklin Ave Ste 403
Berlin, MD 21811-1263
Phone
(410) 973-2211
Fax
(443) 782-0350
NPI assigned
Jan 16, 2014
Last updated
Aug 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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 LC6686 MD Primary

Addresses

Primary practice location

314 Franklin Ave Ste 403
Berlin, MD 21811-1263

Mailing address

314 Franklin Ave Ste 403
Berlin, MD 21811-1263
Phone (410) 973-2211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240123003941 MD Practitioner - Mental Health Counselor 7618329855 Reassigns benefits to 1 organization
I20250612000908 DE Practitioner - Mental Health Counselor 7618329855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lighthouse Counseling Christian Ministry, LLCGroup PAC ID 1456615079, 11 clinicians

Practice addresses (Care Compare)

30265 Commerce Dr
Unit 205
Millsboro, DE 19966-3595
Phone (302) 245-8722

314 Franklin Ave
Suite 403
Berlin, MD 21811-1263
Phone (410) 973-2211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LGP5500MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Counseling Christian Ministry, LLC Professional CurrentSince Jan 1, 2024 Accepting new patients
Seasons Hospice & Palliative Care of Delaware, LLC PastSince Apr 23, 2025 Accepting new patients

Locations

30265 Commerce Dr
Unit 205
Millsboro, DE 19966
Phone (302) 245-8722

314 Franklin Ave
Ste 403
Berlin, MD 21811
Phone (410) 629-1995

Organizations & group practices 2

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": "1389830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1396167912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 FRANKLIN AVE STE 403",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111263",
            "telephone_number": "410-973-2211",
            "fax_number": "443-782-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 FRANKLIN AVE STE 403",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111263",
            "telephone_number": "410-973-2211",
            "fax_number": "443-782-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABB",
        "first_name": "CHRISTOPHER",
        "middle_name": "WEST",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-16",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC6686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, MD

Sources for this page

Verify at the official NPI Registry.