Natasha G Charles McQueen, LCPC, NCC

Key facts

NPI

1659908754

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Counselor 101YM0800X

License

LC14169 (MD)

Practice address

155 Log Canoe Cir
Stevensville, MD 21666-2127

Phone

(347) 792-0905

NPI assigned

Mar 26, 2020

Sex

Female

Sole proprietor

Yes

Organizations & group practices 2

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.

• Chesapeake Bay Psychological Services LLC Psychologist · Stevensville, MD · NPI 1003938846
  Medicare reassignment NPD MD
• Institute for Healing, LLC Clinical Psychologist · Owings Mills, MD · NPI 1629438122
  Medicare reassignment NPD MD

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 7, 2025.

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1659908754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 LOG CANOE CIR",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662127",
            "telephone_number": "347-792-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 LOG CANOE CIR",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662127",
            "telephone_number": "347-792-0905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9419 Common Brook Rd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Owings Mills",
            "state": "MD",
            "postal_code": "211177570",
            "country_code": "US",
            "telephone_number": "410-864-0211",
            "fax_number": "410-618-4163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARLES MCQUEEN",
        "first_name": "NATASHA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "LCPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC14169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Stevensville, MD · Mental Health Counselor in Maryland