Individual provider Active NPI

Emily Louise Livelsberger, LGPC

  • Mental Health Counselor
  • Columbia, MD
National Provider Identifier
1629616040
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LGP9747 Issued in MD
Practice address
10255 Old Columbia Rd
Columbia, MD 21046-2540
Phone
(800) 491-5369
NPI assigned
Dec 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LGP9747 MD
Addiction (Substance Use Disorder) Counselor 101YA0400X LGP9747 MD
Pastoral Counselor 101YP1600X LGP9747 MD
Professional Counselor 101YP2500X LGP9747 MD
Mental Health Counselor 101YM0800X LGP9747 MD Primary

Addresses

Primary practice location

10255 Old Columbia Rd
Columbia, MD 21046-2540

Mailing address

10255 Old Columbia Rd
Columbia, MD 21046-2540
Phone (800) 491-5369

Other names 1

  • Emily Louise Brink Former name

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

LicenseStateTypeSpecialty
LGP9747MDMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Centrepointe Counseling, Inc. Pastoral CurrentSince Jan 24, 2023 Accepting new patients
Centrepointe Counseling, Inc. Pastoral PastSince Dec 22, 2019 Accepting new patients

Locations

10255 Old Columbia Rd
Columbia, MD 21046
Phone (800) 466-5290

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": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1629616040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10255 OLD COLUMBIA RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462540",
            "telephone_number": "800-491-5369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10255 OLD COLUMBIA RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462540",
            "telephone_number": "800-491-5369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVELSBERGER",
        "first_name": "EMILY",
        "middle_name": "LOUISE",
        "credential": "LGPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LGP9747",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LGP9747",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "MD",
            "license": "LGP9747",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP9747",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP9747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "BRINK",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.