Active NPI
David Riddick
- Mental Health Counselor
- Millersville, MD
National Provider Identifier
1437024692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LGP14774
- Practice address
- 8258 Veterans Hwy Ste 13
Millersville, MD 21108-1564 - Phone
- (410) 768-6088
- Fax
- (410) 768-6444
- NPI assigned
- Oct 8, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LGP14774 | MD | Primary |
Addresses
Primary practice location
8258 Veterans Hwy Ste 13
Millersville, MD 21108-1564
Mailing address
8258 Veterans Hwy Ste 13
Millersville, MD 21108-1564
Phone (410) 768-6088
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP14774 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759881600000",
"number": "1437024692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8258 VETERANS HWY STE 13",
"city": "MILLERSVILLE",
"state": "MD",
"postal_code": "211081564",
"telephone_number": "410-768-6088",
"fax_number": "410-768-6444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8258 VETERANS HWY STE 13",
"city": "MILLERSVILLE",
"state": "MD",
"postal_code": "211081564",
"telephone_number": "410-768-6088",
"fax_number": "410-768-6444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDDICK",
"first_name": "DAVID",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-08",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LGP14774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Millersville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.