Individual provider Active NPI

Debra Corine Flerlage, LCPC, LCADC

  • Professional Counselor
  • Leonardtown, MD
National Provider Identifier
1639537772
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC6980 Issued in MD
Practice address
39705 Lady Baltimore Ave
Leonardtown, MD 20650-2529
Phone
(240) 309-2844
NPI assigned
Feb 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCA2252 MD
Professional Counselor 101YP2500X LC6980 MD Primary

Addresses

Primary practice location

39705 Lady Baltimore Ave
Leonardtown, MD 20650-2529

Mailing address

PO Box 91
Compton, MD 20627-0091
Phone (240) 309-2844

Other practice location 1

21789 N Coral Dr
Lexington Park, MD 20653-5517
Phone (240) 237-8405

Other identifiers 1

IdentifierTypeStateIssuer
105519400MedicaidMD

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
LCA2252MDMDAddiction (Substance Use Disorder) Counselor
LC6980MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Weathering the Storm Behavioral Health LLC Addiction (Substance Use Disorder) CurrentSince Nov 13, 2022 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": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1639537772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91",
            "city": "COMPTON",
            "state": "MD",
            "postal_code": "206270091",
            "telephone_number": "240-309-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39705 LADY BALTIMORE AVE",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502529",
            "telephone_number": "240-309-2844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21789 N Coral Dr",
            "address_purpose": "LOCATION",
            "city": "Lexington Park",
            "state": "MD",
            "postal_code": "206535517",
            "country_code": "US",
            "telephone_number": "240-237-8405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLERLAGE",
        "first_name": "DEBRA",
        "middle_name": "CORINE",
        "name_prefix": "Mrs.",
        "credential": "LCPC, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-03",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LCA2252",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC6980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105519400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leonardtown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.