Angela Bates
Individual provider Active NPI Mental Health Counselor · Brandywine, MD
NPI 1457028110 · NPPES record last updated Aug 31, 2023
Key facts
- NPI
- 1457028110
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 11600 Cedarville Rd
Brandywine, MD 20613-7968 - Phone
- (301) 262-2270
- NPI assigned
- Aug 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Safe Harbor Behavioral Care LLC
Practice addresses (Care Compare)
5054 Dorsey Hall Dr
Suite 105
Ellicott City, MD 21042-7795
Phone (410) 893-4600
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240524000178 | MD | Practitioner - Mental Health Counselor | 1456795913 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Counseling Service, Inc. | Mental Health | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC14278 | MD | |
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
11600 Cedarville Rd
Brandywine, MD 20613-7968
Mailing address
10808 Phillips Dr
Upper Marlboro, MD 20772-4624
Phone (301) 704-1445
Other practice location 1
5869 Allentown Rd
Camp Springs, MD 20746-4548
Phone (301) 433-8777
Other providers in Brandywine, MD
- Cecilia L Baker
- Lisa Miranda Baker
- Felicien Bandolo Olougou
- Hyun J Bang
- Bashea Williams LLC
- Beyond Dynamic Potential LLC
- Lindsey Taylor Blankenship
- Blessings Advocacy and Human Services, Consulting LLC
- Anna Bonamy
- Joann Antoinette Borges-Jones
All providers in Brandywine, MD · Mental Health Counselor in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.