Kristian Popov, MS, LCPC
Individual provider Active NPI Professional Counselor · New Market, MD
NPI 1558038976 · NPPES record last updated Sep 11, 2023
Key facts
- NPI
- 1558038976
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LC14219 (MD)
- Practice address
- 11670 Old National Pike Ste 103
New Market, MD 21774-6123 - Phone
- (301) 865-2226
- NPI assigned
- Aug 24, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Linganore Counseling and Wellness LLC
Practice addresses (Care Compare)
11670 Old National Pike
Suite 103
New Market, MD 21774-6123
Phone 3018652226302
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250924002265 | MD | Practitioner - Mental Health Counselor | 4981109691 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP11828 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Linganore Counseling and Wellness, LLC | Professional | Current |
Accepting new patients |
| Linganore Counseling and Wellness, LLC | Professional | Current |
Accepting new patients |
Locations
11670 Old National Pike
Ste 103
New Market, MD 21774
Phone (301) 865-2226
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LGP11828 | MD | |
| Professional Counselor | 101YP2500X | LC14219 | MD | Yes |
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
Other providers in New Market, MD
- Jessica Perron
- Mark Richard Perry
- Deidre Joy Pilcher
- Michelle Villa Plitt
- Fideline Joelle Pokam Mouafo
- Pro-Cogno LLC
- Laura Przybylek
- Frank Pucino Jr.
- Emily Ramsey
- Megan Richardson
All providers in New Market, MD · Professional 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 Sep 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.