Active NPI
Mary Elizabeth Austin, LCPC
- Professional Counselor
- Frederick, MD
National Provider Identifier
1649394388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC1062
- Practice address
- 22 E 2ND St
Frederick, MD 21701-5303 - Phone
- (301) 788-2663
- Fax
- (301) 698-5548
- NPI assigned
- Mar 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC1062 | MD | Primary |
Addresses
Primary practice location
22 E 2ND St
Frederick, MD 21701-5303
Mailing address
8409 Stonehouse Rd
Frederick, MD 21702-2367
Phone (301) 698-5548
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
| License | State | Type | Specialty |
|---|---|---|---|
| LC1062 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649394388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8409 STONEHOUSE RD",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217022367",
"telephone_number": "301-698-5548",
"fax_number": "301-698-5548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 E 2ND ST",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217015303",
"telephone_number": "301-788-2663",
"fax_number": "301-698-5548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTIN",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC1062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
- Jennifer Maybell Atwell, LCSW-C
- Jeanine Aubertin, LCSW-C, LGADC
- Audiological Associates, Inc. (Beltone Hearing Aid Center)
- Deborah M Austill, PA
- Austin Addiction & Mental Health Center
- Paige Austin, LCPC
- Terry Jane Austin
- Authentic Clinical Counseling, LLC
- Autumn Brennan Coaching Counseling and Consultation
- Avaesen Healthcare Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.