Active NPI
Theresa Redmon, LCPC
- Professional Counselor
- Abingdon, MD
National Provider Identifier
1659738037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC6246
- Practice address
- 3018 Benefit CT
Abingdon, MD 21009-2942 - Phone
- (410) 569-8483
- NPI assigned
- Jan 15, 2016
- 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 | LC6246 | MD | Primary |
Addresses
Primary practice location
3018 Benefit CT
Abingdon, MD 21009-2942
Mailing address
260 Gateway Drive
Suite 11-12a
Bel Air, MD 21014
Phone (443) 528-9041
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 |
|---|---|---|---|
| LC6246 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452816000000",
"number": "1659738037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 GATEWAY DRIVE",
"address_2": "SUITE 11-12A",
"city": "BEL AIR",
"state": "MD",
"postal_code": "21014",
"telephone_number": "443-528-9041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3018 BENEFIT CT",
"city": "ABINGDON",
"state": "MD",
"postal_code": "210092942",
"telephone_number": "410-569-8483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDMON",
"first_name": "THERESA",
"name_prefix": "Ms.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-15",
"last_updated": "2016-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC6246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Abingdon, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.