Individual provider Active NPI

Mary Blair Dannals, MA, LPC, LCPC

  • Mental Health Counselor
  • Bethesda, MD
National Provider Identifier
1548738222
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC11104 Issued in MD
Practice address
4719 Hampden LN Ste 100
Bethesda, MD 20814-3079
Phone
(301) 656-4600
Fax
(301) 656-4601
NPI assigned
Nov 11, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PRC15539 DC
Mental Health Counselor 101YM0800X LC11104 MD Primary

Addresses

Primary practice location

4719 Hampden LN Ste 100
Bethesda, MD 20814-3079

Mailing address

2 Wisconsin Cir Ste 710
Chevy Chase, MD 20815-7003
Phone (202) 455-8102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PRC15539DCMDMental Health Counselor
LC11104MDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1541894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1548738222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WISCONSIN CIR STE 710",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208157003",
            "telephone_number": "202-455-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4719 HAMPDEN LN STE 100",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143079",
            "telephone_number": "301-656-4600",
            "fax_number": "301-656-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANNALS",
        "first_name": "MARY BLAIR",
        "name_prefix": "Ms.",
        "credential": "MA, LPC, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-11",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "PRC15539",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC11104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.