Individual provider Active NPI

Natasha G Charles McQueen, LCPC, NCC

  • Mental Health Counselor
  • Stevensville, MD
National Provider Identifier
1659908754
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC14169 Issued in MD
Practice address
155 Log Canoe Cir
Stevensville, MD 21666-2127
Phone
(347) 792-0905
NPI assigned
Mar 26, 2020
Last updated
Aug 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC14169 MD Primary

Addresses

Primary practice location

155 Log Canoe Cir
Stevensville, MD 21666-2127

Mailing address

155 Log Canoe Cir
Stevensville, MD 21666-2127
Phone (347) 792-0905

Other practice location 1

9419 Common Brook Rd Ste 208
Owings Mills, MD 21117-7570
Phone (410) 864-0211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240117000389 MD Practitioner - Mental Health Counselor 6305298241 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Bay Psychological Services LLC CurrentSince Jan 1, 2024 Accepting new patients
Institute for Healing, LLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

9419 Common Brook Rd
Ste 208
Owings Mills, MD 21117
Phone (410) 864-0211

155 Log Canoe Cir
Stevensville, MD 21666
Phone (410) 604-0226

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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": []
}

Other providers in Stevensville, MD

Sources for this page

Verify at the official NPI Registry.