Individual provider Active NPI

Maryann Chretin, LCPC

  • Professional Counselor
  • Glen Burnie, MD
National Provider Identifier
1679041032
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC11024 Issued in MD
Practice address
7452 Baltimore Annapolis Blvd
Glen Burnie, MD 21061-3547
Phone
(410) 766-1544
NPI assigned
Nov 5, 2018
Last updated
Mar 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC11024 MD
Pastoral Counselor 101YP1600X LGP9104 MD
Professional Counselor 101YP2500X LC11024 MD Primary

Addresses

Primary practice location

7452 Baltimore Annapolis Blvd
Glen Burnie, MD 21061-3547

Mailing address

9900 S May Ave Apt 1223
Oklahoma City, OK 73159-9022
Phone (301) 871-5150

Other identifiers 3

IdentifierTypeStateIssuer
LC11024OtherMDMARYLAND BOARD OF PROFESSIONAL COUNSELORS AND THERAPISTS
101YP2500XMedicaidMD
1679041032MedicaidMD

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
I20240816002279 MD Practitioner - Mental Health Counselor 6103364534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Holistic Approach Mental Health,LLCGroup PAC ID 3779711973, 4 clinicians

Practice addresses (Care Compare)

7452 Baltimore Annapolis Blvd
Suite 107
Glen Burnie, MD 21061-3547
Phone (410) 766-1544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LGP9104MDMDPastoral Counselor
LC11024MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Approach Mental Health, LLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

7452 Baltimore Annapolis Blvd
Glen Burnie, MD 21061
Phone (410) 553-9494

7452 Baltimore Annapolis Blvd
Ste 107
Glen Burnie, MD 21061
Phone (410) 766-1544

Organizations & group practices 1

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": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1679041032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 S MAY AVE APT 1223",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731599022",
            "telephone_number": "301-871-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7452 BALTIMORE ANNAPOLIS BLVD",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613547",
            "telephone_number": "410-766-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRETIN",
        "first_name": "MARYANN",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC11024",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "MD",
            "license": "LGP9104",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC11024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND BOARD OF PROFESSIONAL COUNSELORS AND THERAPISTS",
            "identifier": "LC11024",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101YP2500X",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679041032",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.