Individual provider Active NPI

Ondrej Sroba, LCPC

  • Professional Counselor
  • Silver Spring, MD
National Provider Identifier
1548024441
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC1580 Issued in MD
Practice address
9707 Lorain Ave
Silver Spring, MD 20901-3251
Phone
(301) 263-4572
NPI assigned
Feb 12, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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 LC1580 MD Primary

Addresses

Primary practice location

9707 Lorain Ave
Silver Spring, MD 20901-3251

Mailing address

9707 Lorain Ave
Silver Spring, MD 20901-3251
Phone (301) 263-4572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20240705001644 DC Practitioner - Mental Health Counselor 5799229472 Practice locations: Silver Spring, MD

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Silver Spring, MD 20901
Phone (301) 263-4572

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC1580MDMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1548024441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9707 LORAIN AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209013251",
            "telephone_number": "301-263-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9707 LORAIN AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209013251",
            "telephone_number": "301-263-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SROBA",
        "first_name": "ONDREJ",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC1580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.