NPIMap

Individual provider Active NPI

Kimberly Marie Scroger, LCPC

  • Professional Counselor
  • Elkton, MD
National Provider Identifier
1417798265
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC18107 Issued in MD
Practice address
1888 Blue Ball Rd
Elkton, MD 21921-3305
Phone
(302) 528-6710
NPI assigned
Jun 5, 2024
Last updated
Aug 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 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 LC18107 MD Primary

Addresses

Primary practice location

1888 Blue Ball Rd
Elkton, MD 21921-3305

Mailing address

1888 Blue Ball Rd
Elkton, MD 21921-3305
Phone (302) 483-7458

Other practice location 1

3510 Homeland Ter
Olney, MD 20832-1760
Phone (302) 528-6710

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kline Behavioral Health, LLC PastSince Jun 9, 2024 Accepting new patients
Advantage Psychiatric Services LLC Past Accepting new patients
Advantage Psychiatric Services LLC Past Accepting new patients
Advantage Psychiatric Services LLC Past Accepting new patients
Advantage Psychiatric Services LLC Past Accepting new patients

Organizations & group practices 5

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": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1417798265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1888 BLUE BALL RD",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219213305",
            "telephone_number": "302-483-7458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1888 BLUE BALL RD",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219213305",
            "telephone_number": "302-528-6710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3510 Homeland Ter",
            "address_purpose": "LOCATION",
            "city": "Olney",
            "state": "MD",
            "postal_code": "208321760",
            "country_code": "US",
            "telephone_number": "302-528-6710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCROGER",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC18107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.