Active NPI
Amir Abdullah, LCPC
- Professional Counselor
- Rockville, MD
National Provider Identifier
1659533503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC2687
- Practice address
- 14703 Avery Rd
Rockville, MD 20853-3605 - Phone
- (301) 762-5613
- NPI assigned
- Jul 1, 2008
- Last updated
- Jul 1, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | AC0750 | MD | |
| Mental Health Counselor | 101YM0800X | LC2687 | MD | |
| Professional Counselor | 101YP2500X | LC2687 | MD | Primary |
Addresses
Primary practice location
14703 Avery Rd
Rockville, MD 20853-3605
Mailing address
14703 Avery Rd
Rockville, MD 20853-3605
Phone (301) 762-5613
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 |
|---|---|---|---|
| AC0750 | MD | MD | Addiction (Substance Use Disorder) Counselor |
| LC2687 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214870400000",
"number": "1659533503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14703 AVERY RD",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208533605",
"telephone_number": "301-762-5613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14703 AVERY RD",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208533605",
"telephone_number": "301-762-5613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDULLAH",
"first_name": "AMIR",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-01",
"last_updated": "2008-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MD",
"license": "AC0750",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LC2687",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC2687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.