Individual provider Active NPI

Robert Michael Ott, PH.D., L.C.P.C.

  • Professional Counselor
  • Columbia, MD
National Provider Identifier
1619092939
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LCPC 112O Issued in MD
Practice address
9650 Santiago Rd
Suite 3
Columbia, MD 21045-3957
Phone
(443) 474-1923
NPI assigned
Mar 20, 2007
Sex
Male
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
Professional Counselor 101YP2500X LCPC 112O MD Primary

Addresses

Primary practice location

9650 Santiago Rd
Suite 3
Columbia, MD 21045-3957

Mailing address

9643 Greenmoon Path
Columbia, MD 21046-2069
Phone (240) 876-5072

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
I20200403000505 MD Practitioner - Clinical Psychologist 5496184939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8640 Guilford Rd
Suite 220
Columbia, MD 21046-2671

8640 Guilford Rd
Suite 254
Columbia, MD 21046-2666
Phone (443) 878-3614

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LCPC 112OMDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Better Self Counseling LLC CurrentSince Jan 1, 2020 Accepting new patients
Lisa M. Ott, LCSW-C, LLC PastSince Sep 4, 2021 Accepting new patients

Locations

8640 Guilford Rd
Ste 254
Columbia, MD 21046
Phone (410) 440-5828

8640 Guilford Rd
Ste 220
Columbia, MD 21046
Phone (410) 440-5828

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619092939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9643 GREENMOON PATH",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462069",
            "telephone_number": "240-876-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9650 SANTIAGO RD",
            "address_2": "SUITE 3",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453957",
            "telephone_number": "443-474-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTT",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PH.D., L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LCPC 112O",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.