Individual provider Active NPI

Michelle M Stryjewski, LCPC

  • Mental Health Counselor
  • Elkton, MD
National Provider Identifier
1578861209
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC5273 Issued in MD
Practice address
1275B W Pulaski Hwy
Elkton, MD 21921-4719
Phone
(410) 620-7161
NPI assigned
Mar 3, 2011
Last updated
Sep 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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 LC5273 MD Primary

Addresses

Primary practice location

1275B W Pulaski Hwy
Elkton, MD 21921-4719

Mailing address

716 Country Village Dr
Apt 1a
Bel Air, MD 21014-4075
Phone (410) 206-2153

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
I20241213002388 MD Practitioner - Mental Health Counselor 3476089459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Project Chesapeake, LLCGroup PAC ID 2769603034, 18 clinicians

Practice addresses (Care Compare)

1101 N Point Blvd
Suite 124
Baltimore, MD 21224-3417
Phone (443) 231-3040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC5273MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Project Chesapeake, LLC CurrentSince Dec 2, 2024 Accepting new patients
Project Chesapeake, LLC Current Accepting new patients
Project Chesapeake, LLC CurrentSince Dec 2, 2024 Accepting new patients

Locations

108 Old Solomons Island Rd
Ste A
Annapolis, MD 21401
Phone (410) 266-5054

185 Admiral Cochrane Dr
Ste 120
Annapolis, MD 21401

1101 N Point Blvd
Ste 124
Baltimore, MD 21224
Phone (410) 440-5780

Organizations & group practices 3

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": "1299110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1578861209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 COUNTRY VILLAGE DR",
            "address_2": "APT 1A",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144075",
            "telephone_number": "410-206-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275B W PULASKI HWY",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219214719",
            "telephone_number": "410-620-7161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRYJEWSKI",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-03",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC5273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

Verify at the official NPI Registry.