Individual provider Active NPI

Michelle Chaney, LCPC, CAC-AD

  • Professional Counselor
  • North Bethesda, MD
National Provider Identifier
1457890907
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC8330 Issued in MD
Practice address
11810 Grand Park Ave Ste 500
North Bethesda, MD 20852-8679
Phone
(240) 547-9316
NPI assigned
Feb 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 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 LC8330 MD Primary

Addresses

Primary practice location

11810 Grand Park Ave Ste 500
North Bethesda, MD 20852-8679

Mailing address

11810 Grand Park Ave Ste 500
North Bethesda, MD 20852-8679
Phone (240) 547-9316

Other practice location 1

424 N Frederick Ave Ste 8A
Gaithersburg, MD 20877-2439
Phone (240) 547-9316

Other practice location 2

4601 Forbes Blvd
Suite 100
Lanham, MD 20706-4807
Phone (301) 306-4590

Other identifiers 1

IdentifierTypeStateIssuer
1028015MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20260528001803 MD Practitioner - Mental Health Counselor 2264902584 Reassigns benefits to 1 organization
I20260608001444 DC Practitioner - Mental Health Counselor 2264902584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Care Therapy LCSW of Maryland LLCGroup PAC ID 5597174797, 13 clinicians

Practice addresses (Care Compare)

2700 Barker St
Silver Spring, MD 20910-1001
Phone (973) 264-0023

822 Guilford Ave
Suite 1526
Baltimore, MD 21202-3707
Phone (973) 264-0023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC8330MDMDProfessional Counselor

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, 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": "1487203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1457890907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11810 GRAND PARK AVE STE 500",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208528679",
            "telephone_number": "240-547-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11810 GRAND PARK AVE STE 500",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208528679",
            "telephone_number": "240-547-9316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "424 N Frederick Ave Ste 8A",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208772439",
            "country_code": "US",
            "telephone_number": "240-547-9316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4601 Forbes Blvd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Lanham",
            "state": "MD",
            "postal_code": "207064807",
            "country_code": "US",
            "telephone_number": "301-306-4590",
            "fax_number": "301-306-4591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANEY",
        "first_name": "MICHELLE",
        "credential": "LCPC, CAC-AD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-16",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC8330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028015",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bethesda, MD

Sources for this page

Verify at the official NPI Registry.