Active NPI
Kristen Clark Pilgrim, LCPC
- Drama Therapist
- North Potomac, MD
National Provider Identifier
1588234629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Drama Therapist
- License
- RDT804
- Practice address
- 10810 Darnestown Rd Ste 103
North Potomac, MD 20878-2604 - Phone
- (301) 869-1017
- NPI assigned
- Jun 30, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LC16561 | MD | |
| Drama Therapist | 101200000X | RDT804 | Primary |
Addresses
Primary practice location
10810 Darnestown Rd Ste 103
North Potomac, MD 20878-2604
Mailing address
1707 62ND Ave
Cheverly, MD 20785-3806
Phone (804) 380-6552
Other practice location 1
4300 Montgomery Ave
Bethesda, MD 20814-4412
Phone (804) 380-6552
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC16561 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769472000000",
"number": "1588234629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1707 62ND AVE",
"city": "CHEVERLY",
"state": "MD",
"postal_code": "207853806",
"telephone_number": "804-380-6552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10810 DARNESTOWN RD STE 103",
"city": "NORTH POTOMAC",
"state": "MD",
"postal_code": "208782604",
"telephone_number": "301-869-1017"
}
],
"practiceLocations": [
{
"address_1": "4300 Montgomery Ave",
"address_purpose": "LOCATION",
"city": "Bethesda",
"state": "MD",
"postal_code": "208144412",
"country_code": "US",
"telephone_number": "804-380-6552",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PILGRIM",
"first_name": "KRISTEN",
"middle_name": "CLARK",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-30",
"last_updated": "2026-01-27",
"certification_date": "2026-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LC16561",
"primary": false
},
{
"code": "101200000X",
"taxonomy_group": "",
"desc": "Drama Therapist",
"state": null,
"license": "RDT804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Potomac, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.