Individual provider Active NPI

Gloria Hamelin, LCPC. NCC

  • Mental Health Counselor
  • Lanham, MD
National Provider Identifier
1710490826
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC13828 Issued in MD
Practice address
6918 Heidelburg Rd
Lanham, MD 20706-4603
Phone
(484) 995-1496
NPI assigned
Nov 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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 LC13828 MD Primary

Addresses

Primary practice location

6918 Heidelburg Rd
Lanham, MD 20706-4603

Mailing address

6918 Heidelburg Rd
Lanham, MD 20706-4603
Phone (484) 995-1496

Other identifiers 1

IdentifierTypeStateIssuer
171049026MedicaidMD

Other names 1

  • Ms. Gloria Odongo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20260527004343 DC Practitioner - Mental Health Counselor 8123598471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

401 Hungerford Dr
Rockville, MD 20850-4154
Phone (301) 217-1345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC13828MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gem Counseling Services LLC Mental Health CurrentSince Aug 25, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gloria.hamelin.p1@direct.mcg-hhs.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1510272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1710490826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6918 HEIDELBURG RD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064603",
            "telephone_number": "484-995-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6918 HEIDELBURG RD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064603",
            "telephone_number": "484-995-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMELIN",
        "first_name": "GLORIA",
        "name_prefix": "Ms.",
        "credential": "LCPC. NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-10",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC13828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171049026",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLORIA",
            "last_name": "ODONGO",
            "prefix": "MS.",
            "credential": "LCPC., NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lanham, MD

Sources for this page

Verify at the official NPI Registry.