Patricia Zetkulic, LCPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LC16009 Issued in MD

Practice address

5301 Buckeystown Pike Ste 170
Frederick, MD 21704-8380

Phone

(240) 575-9688

NPI assigned

Feb 20, 2023

Last updated

Feb 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dagenhart Health and Wellness, LLCGroup PAC ID 2365817582, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dagenhart Health and Wellness, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Frederick, MD
  • NPI 1912336736

  Professional

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1548968589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 BLAKELY CT APT 344",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 BUCKEYSTOWN PIKE STE 170",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217048380",
            "telephone_number": "240-575-9688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZETKULIC",
        "first_name": "PATRICIA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LC16009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Zellner, RN
• Deborah Zemede
• Zen Psychological Center
• Zenbees Psychiatry and Wellness Services
• Kimberly Lyn Zeren, CRNP- FAMILY
• Dulat Zhandossov, DPT
• Mahsa Ziashakeri
• Louisa Ziglar, MD
• Katumu Zinnah
• Zion Zeal Home Care

• Counselor in Frederick, MD
• Providers in Frederick, MD by specialty
• Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.