Michael D Cardaci, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC2621 Issued in MD

Practice address

650 Ritchie Hwy
Suite 207
Severna Park, MD 21146-3916

Phone

(410) 714-1720

Fax

(410) 741-3343

NPI assigned

Apr 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

Mental Health Counselor

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optum Behavioral Care of North Carolina PCGroup PAC ID 5092120030, 175 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Optum Behavioral Care of North Carolina, PC

  • Counseling Psychologist
  • Columbia, MD
  • NPI 1518732833
  Medicare reassignment Care Compare group
• Michael Cardaci, LCPC, LLC

  dba Bayview Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gambrills, MD
  • NPI 1730863622
  NPD Authorized official
• Optum Behavioral Care of North Carolina, PC

  • Counseling Psychologist
  • Eldersburg, MD
  • NPI 1306612817
  NPD
• Optum Behavioral Care of North Carolina, P.C.

  • Clinical Social Worker
  • Gulfport, MS
  • NPI 1861371718
  NPD
• Carroll Counseling Center, LLC

  • Cognitive & Behavioral Psychologist
  • Eldersburg, MD
  • NPI 1710999784
  NPD (past)

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

{
    "created_epoch": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1619938107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 NATHAN WAY",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211086831",
            "telephone_number": "410-714-1720",
            "fax_number": "410-741-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 RITCHIE HWY",
            "address_2": "SUITE 207",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463916",
            "telephone_number": "410-714-1720",
            "fax_number": "410-741-3343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2616 Chapel Lake Dr.",
            "address_2": "Ste B #859",
            "address_purpose": "LOCATION",
            "city": "Gambrills",
            "state": "MD",
            "postal_code": "21054",
            "country_code": "US",
            "telephone_number": "410-714-1720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDACI",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-01",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LC2621",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC2621",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC2621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "774800100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isabella Camerlin
• Kristen Mary Deboy Caminiti, MSW, LICSW
• Karly Campbell, MSOTRL
• Amanda McPherson Canizales, D.D.S.
• Kathryn Demarinis Capozzoli, APRN, BC, PMH
• Diane T Carey, MA SLP
• Wanda Carroll, PTA, LMT, CNA
• Jessica Noemy Castro-Pocasangre
• Kristina G. Castro, DPT
• Centennial Medical Group, PA

• Mental Health Counselor in Severna Park, MD
• Providers in Severna Park, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.