Active NPI
Ashley Lauren Grynkiewicz, LCPC
- Mental Health Counselor
- Baltimore, MD
National Provider Identifier
1639519085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LC7864
- Practice address
- 1012 North Point Rd
Baltimore, MD 21224-3338 - Phone
- (443) 216-4800
- NPI assigned
- Jun 30, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Aberdeen, MD
- NPI 1497760847
MD
-
- Adult Mental Health Clinic/Center
- Towson, MD
- NPI 1619302593
-
- Adolescent and Children Mental Health Clinic/Center
- Catonsville, MD
- NPI 1275544025
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Key Point Health Services, Inc.
Practice addresses (Care Compare)
1012 N Point Rd
Baltimore, MD 21224-3338
Phone (443) 216-4800
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240403000134 | MD | Practitioner - Mental Health Counselor | 3971941444 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP6452 | MD | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Key Point Health Services, Inc. | Current | Accepting new patients | |
| Key Point Health Services, Inc. | Current | Accepting new patients | |
| Key Point Health Services, Inc | Current | Accepting new patients |
Locations
135 N Parke St
Aberdeen, MD 21001
Phone (443) 625-1600
1012 S North Point Rd
Baltimore, MD 21224
Phone (410) 285-2110
500 N Rolling Rd
Catonsville, MD 21228
Phone (410) 788-0300
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LGP6452 | MD | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Mental Health Counselor | 101YM0800X | LC7864 | MD | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1012 North Point Rd
Baltimore, MD 21224-3338
Mailing address
227 Maple Ave
Baltimore, MD 21222-4245
Phone (410) 428-0972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 14, 2017.
{
"created_epoch": "1372550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497398400000",
"number": "1639519085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 MAPLE AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212224245",
"telephone_number": "410-428-0972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 NORTH POINT RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212243338",
"telephone_number": "443-216-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRYNKIEWICZ",
"first_name": "ASHLEY",
"middle_name": "LAUREN",
"name_prefix": "Mrs.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-30",
"last_updated": "2017-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LGP6452",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LC7864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; 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.