Individual provider Active NPI

Elaine Scheideman Ralph, MSW

  • Mental Health Counselor
  • Stevensville, MD
National Provider Identifier
1578613972
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
09916 Issued in MD
Practice address
205 Fantasy LN
Stevensville, MD 21666-3058
Phone
(410) 643-0243
Fax
(410) 643-1889
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 09916 MD Primary

Addresses

Primary practice location

205 Fantasy LN
Stevensville, MD 21666-3058

Mailing address

205 Fantasy LN
Stevensville, MD 21666-3058
Phone (410) 643-0243

Other identifiers 1

IdentifierTypeStateIssuer
64503901OtherMDRENDERING NUMBER

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
09916MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
For All Seasons, Inc. Past Accepting new patients
For All Seasons, Inc Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578613972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 FANTASY LN",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216663058",
            "telephone_number": "410-643-0243",
            "fax_number": "410-643-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 FANTASY LN",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216663058",
            "telephone_number": "410-643-0243",
            "fax_number": "410-643-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALPH",
        "first_name": "ELAINE",
        "middle_name": "SCHEIDEMAN",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "09916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RENDERING NUMBER",
            "identifier": "64503901",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevensville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.