Active NPI
Raymond J. Nardella, EDD, JD
- Professional Counselor
- Beltsville, MD
National Provider Identifier
1629936943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 11785 Beltsville Dr Ste 120
Beltsville, MD 20705-3121 - Phone
- (203) 910-5307
- NPI assigned
- Jan 14, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LGP17496 | MD | |
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
11785 Beltsville Dr Ste 120
Beltsville, MD 20705-3121
Mailing address
11785 Beltsville Dr Ste 120
Beltsville, MD 20705-3121
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
- Credentials
- Juris Doctor
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP17496 | MD | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SMR Counseling Services, LLC | Mental Health | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772755200000",
"number": "1629936943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11785 BELTSVILLE DR STE 120",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207053121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11785 BELTSVILLE DR STE 120",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207053121",
"telephone_number": "203-910-5307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARDELLA",
"first_name": "RAYMOND",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "EDD, JD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-01-14",
"last_updated": "2026-03-06",
"certification_date": "2026-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LGP17496",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beltsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.