Individual provider Active NPI

Carlos Cortes

  • Mental Health Counselor
  • Gaithersburg, MD
National Provider Identifier
1457938904
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LGP11178 Issued in MD
Practice address
620 E Diamond Ave Ste H
Gaithersburg, MD 20877-5328
Phone
(301) 840-3200
NPI assigned
Mar 29, 2021
Last updated
Mar 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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 LGP11178 MD Primary

Addresses

Primary practice location

620 E Diamond Ave Ste H
Gaithersburg, MD 20877-5328

Mailing address

618 H St SW Apt 203
Washington, DC 20024-2732
Phone (504) 813-9451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20241121003411 MD Practitioner - Mental Health Counselor 2961937354 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LGP11178MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Community Services, Inc. Current Accepting new patients

Locations

2225 N Charles St
Baltimore, MD 21218
Phone (410) 366-4360

1925 Greenspring Dr
Timonium, MD 21093

288 E Green St
Westminster, MD 21157
Phone (410) 751-5970

Organizations & group practices 2

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": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1457938904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 H ST SW APT 203",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200242732",
            "telephone_number": "504-813-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E DIAMOND AVE STE H",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208775328",
            "telephone_number": "301-840-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTES",
        "first_name": "CARLOS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP11178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.