Kelly Michele Maher, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC7146 Issued in MD

Practice address

40 S Dundalk Ave Ste 400
Dundalk, MD 21222-4273

Phone

(410) 220-0720

Fax

(410) 862-0150

NPI assigned

Jun 17, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Matclinic Physicians Practice Group LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Dundalk, MD
  • NPI 1104375294

  Professional

  Medicare reassignment NPD
• Matclinic Physicians Practice Group LLC

  • Addiction (Substance Use Disorder) Counselor
  • Dundalk, MD
  • NPI 1801448360

  Professional

  NPD
• Deborah L Disney LCSW-C LLC

  • Clinical Social Worker
  • Towson, MD
  • NPI 1740647247
  NPD (past)
• Friends Research Institute, Inc.

  dba Epoch Counseling Center

  • Addiction (Substance Use Disorder) Counselor
  • Essex, MD
  • NPI 1083772743
  NPD (past)
• Friends Research Institute, Inc.

  dba Epoch Counseling Center

  • Mental Health Counselor
  • Essex, MD
  • NPI 1154674224
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1477903714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 S DUNDALK AVE STE 400",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212224273",
            "telephone_number": "410-220-0720",
            "fax_number": "410-862-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 S DUNDALK AVE STE 400",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212224273",
            "telephone_number": "410-220-0720",
            "fax_number": "410-862-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHER",
        "first_name": "KELLY",
        "middle_name": "MICHELE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-17",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC7146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "504204600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lifeway Holdings LLC (Lifeway Pharmacy, LLC)
• Rachael Lindo, LMSW
• Jennifer Anne Lisa, PMHNP-BC
• Danielle Lloyd, M.A., C.A.S., NCSP
• Sarice Lui, OD
• Monique Maison, RPH
• Kimberly Erin Majerowicz, FNP-C
• Malyka Inc (Wise Discount Pharmacy)
• Karen Martinchek, P.T.
• Maryland Family Care, Inc.

• Professional Counselor in Dundalk, MD
• Providers in Dundalk, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.