Individual provider Active NPI

Judeline Altema, LCPC

  • Professional Counselor
  • Hanover, MD
National Provider Identifier
1679042071
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC9924 Issued in MD
Practice address
7790 Rotherham Dr
Hanover, MD 21076-1460
Phone
(443) 739-2742
NPI assigned
Nov 15, 2018
Last updated
Nov 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LGP8151 MD
Professional Counselor 101YP2500X LC9924 MD Primary

Addresses

Primary practice location

7790 Rotherham Dr
Hanover, MD 21076-1460

Mailing address

7474 Greenway Center Dr Ste 700B
Greenbelt, MD 20770-3523
Phone (240) 304-3327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240131001527 DC Practitioner - Mental Health Counselor 7810340437 Reassigns benefits to 1 organization
I20250106003660 MD Practitioner - Mental Health Counselor 7810340437 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LGP8151MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Guidance of Hope LLC Single Specialty Current Accepting new patients
Families First Counseling and Psychiatry, LLC Single Specialty CurrentSince Jan 10, 2024 Accepting new patients
Families First Counseling and Psychiatry, LLC Single Specialty CurrentSince Jan 10, 2024 Accepting new patients
Families First Counseling and Psychiatry, LLC Single Specialty CurrentSince Nov 2, 2024 Accepting new patients

Locations

800 N Charles St
Ste 450B
Baltimore, MD 21201
Phone (240) 277-3359

6410 Dobbin Rd
Ste F
Columbia, MD 21045
Phone (240) 459-3889

7474 Greenway Center Dr
Ste 202
Greenbelt, MD 20770
Phone (240) 277-3359

7474 Greenway Center Dr
Ste 700B
Greenbelt, MD 20770
Phone (240) 277-3359

17904 Georgia Ave
Ste 200
Olney, MD 20832
Phone (240) 204-3248

Organizations & group practices 4

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": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1679042071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7474 GREENWAY CENTER DR STE 700B",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703523",
            "telephone_number": "240-304-3327",
            "fax_number": "240-513-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7790 ROTHERHAM DR",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761460",
            "telephone_number": "443-739-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTEMA",
        "first_name": "JUDELINE",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-15",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP8151",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC9924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MD

Sources for this page

Verify at the official NPI Registry.