Individual provider Active NPI

Cristina Lidia Tripodi Culshan, LCPC

  • Mental Health Counselor
  • Hyattsville, MD
National Provider Identifier
1417728650
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC14609 Issued in MD
Practice address
7015 Varnum St
Hyattsville, MD 20784-2109
Phone
(202) 638-9861
NPI assigned
Jan 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC14609 MD Primary

Addresses

Primary practice location

7015 Varnum St
Hyattsville, MD 20784-2109

Mailing address

7015 Varnum St
Hyattsville, MD 20784-2109
Phone (202) 638-9861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20240222002049 DC Practitioner - Mental Health Counselor 1759725344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inspire Behavioral Health IncGroup PAC ID 0648637322, 8 clinicians

Practice addresses (Care Compare)

232 Main St
Gaithersburg, MD 20878-5543
Phone (202) 740-7311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Inspire Behavioral Health Inc Mental Health CurrentSince Feb 5, 2024 Accepting new patients

Locations

232 Main St
Gaithersburg, MD 20878
Phone (202) 740-7311

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": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1417728650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7015 VARNUM ST",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207842109",
            "telephone_number": "202-638-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7015 VARNUM ST",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207842109",
            "telephone_number": "202-638-9861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIPODI CULSHAN",
        "first_name": "CRISTINA",
        "middle_name": "LIDIA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC14609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

Verify at the official NPI Registry.