Individual provider Active NPI

Mariam Kleo Carey, LCPC

  • Professional Counselor
  • Columbia, MD
National Provider Identifier
1609550664
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC17245 Issued in MD
Practice address
5850 Waterloo Rd Ste 230
Columbia, MD 21045-1943
Phone
(410) 757-2077
NPI assigned
Jun 12, 2023
Last updated
Jun 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC17245 MD Primary

Addresses

Primary practice location

5850 Waterloo Rd Ste 230
Columbia, MD 21045-1943

Mailing address

5850 Waterloo Rd Ste 230
Columbia, MD 21045-1943
Phone (410) 757-2077

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
I20251124000009 MD Practitioner - Mental Health Counselor 7214429679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1511 Ritchie Hwy
Suite 202
Arnold, MD 21012

4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630

803 Sunken Rd
Fredericksburg, VA 22401-5401

PO Box
Atlanta, GA 30374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC17245MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Arundel Mental Health Professionals L.C. CurrentSince Nov 15, 2025 Accepting new patients
Arundel Mental Health Professionals LLC PastSince Jul 31, 2022 Accepting new patients

Locations

5850 Waterloo Rd
Ste 230
Columbia, MD 21045
Phone (240) 687-7826

1662 Village Grn
#B
Crofton, MD 21114

8133 Elliott Rd
Ste 236A
Easton, MD 21601
Phone (443) 906-3506

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": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1609550664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 WATERLOO RD STE 230",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451943",
            "telephone_number": "410-757-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 WATERLOO RD STE 230",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451943",
            "telephone_number": "410-757-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAREY",
        "first_name": "MARIAM",
        "middle_name": "KLEO",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC17245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.