Aziz S Heard, LCPC, NCC, AS
Individual provider Active NPI Mental Health Counselor · Accokeek, MD
NPI 1508077967 · NPPES record last updated Jan 2, 2020
Key facts
- NPI
- 1508077967
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LC3048 (MD)
- Practice address
- 15638 Livingston Rd Ste 5
Accokeek, MD 20607-3330 - Phone
- (301) 747-4470
- Fax
- (301) 747-4532
- NPI assigned
- May 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Associate of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC3048 | MD | MD | Mental Health Counselor |
| LGP323 | MD | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LGP323 | MD | |
| Mental Health Counselor | 101YM0800X | LC3048 | MD | Yes |
Addresses
Primary practice location
15638 Livingston Rd Ste 5
Accokeek, MD 20607-3330
Mailing address
PO Box 1929
Clinton, MD 20735-6929
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LGP323 | Medicaid | MD |
Other providers in Accokeek, MD
- Nurlean Hale-Holman
- Haley'S Mind of Care Services, LLC
- Deborah Hammett
- Healthways
- Healthy Existence LLC
- Phillip L Higgins
- Hollyfield Physical Therapy, LLC.
- Lynn D Hollyfield
- Amani Howard
- Kanita Hughes
All providers in Accokeek, 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 Jan 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.