Individual provider Active NPI

Kristian Popov, MS, LCPC

  • Professional Counselor
  • New Market, MD
National Provider Identifier
1558038976
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC14219 Issued in MD
Practice address
11670 Old National Pike Ste 103
New Market, MD 21774-6123
Phone
(301) 865-2226
NPI assigned
Aug 24, 2021
Last updated
Sep 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LGP11828 MD
Professional Counselor 101YP2500X LC14219 MD Primary

Addresses

Primary practice location

11670 Old National Pike Ste 103
New Market, MD 21774-6123

Mailing address

18053 Cactus CT
Gaithersburg, MD 20877-3817
Phone (301) 675-6458

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250924002265 MD Practitioner - Mental Health Counselor 4981109691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11670 Old National Pike
Suite 103
New Market, MD 21774-6123
Phone 3018652226302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LC14219MDMDProfessional Counselor
LGP11828MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Linganore Counseling and Wellness, LLC Professional CurrentSince Sep 7, 2025 Accepting new patients
Linganore Counseling and Wellness, LLC Professional CurrentSince Sep 7, 2025 Accepting new patients

Locations

11670 Old National Pike
Ste 103
New Market, MD 21774
Phone (301) 865-2226

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1558038976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18053 CACTUS CT",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208773817",
            "telephone_number": "301-675-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11670 OLD NATIONAL PIKE STE 103",
            "city": "NEW MARKET",
            "state": "MD",
            "postal_code": "217746123",
            "telephone_number": "301-865-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPOV",
        "first_name": "KRISTIAN",
        "credential": "MS, LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-24",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP11828",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC14219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Market, MD

Sources for this page

Verify at the official NPI Registry.