Individual provider Active NPI

Patrice O'Donnell, LCPC

  • Professional Counselor
  • Nottingham, MD
National Provider Identifier
1629789326
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC14708 Issued in MD
Practice address
9414 Belair Rd Ste 201
Nottingham, MD 21236-1542
Phone
(410) 529-2151
NPI assigned
Dec 13, 2022
Last updated
Oct 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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 LC14708 MD Primary

Addresses

Primary practice location

9414 Belair Rd Ste 201
Nottingham, MD 21236-1542

Mailing address

1114 William St Apt 2
Baltimore, MD 21230-4794
Phone (914) 552-1843

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
LC14708MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Renewal Counseling Center, Inc CurrentSince Dec 18, 2022 Accepting new patients

Locations

9414 Belair Rd
Ste 201
Nottingham, MD 21236
Phone (410) 529-2151

Organizations & group practices 1

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": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1629789326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 WILLIAM ST APT 2",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212304794",
            "telephone_number": "914-552-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9414 BELAIR RD STE 201",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212361542",
            "telephone_number": "410-529-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "PATRICE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-13",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC14708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.