Martha K Kesler, LCPC
Individual provider Active NPI Mental Health Counselor · North Beach, MD
NPI 1720264385 · NPPES record last updated Sep 21, 2023
Key facts
- NPI
- 1720264385
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LC2600 (MD)
- Practice address
- 8835 Chesapeake Ave
North Beach, MD 20714 - Phone
- (301) 399-4696
- Fax
- (410) 741-3047
- NPI assigned
- Jan 14, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8835 Chesapeake Ave
North Beach, MD 20714-5015
Phone (301) 399-4696
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240523001910 | MD | Practitioner - Mental Health Counselor | 1052753910 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC2600 | MD | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayside Therapy, PC | Current |
Accepting new patients |
Locations
8835 Chesapeake Ave
North Beach, MD 20714
Phone (301) 399-4696
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LC2600 | MD | Yes |
Addresses
Primary practice location
8835 Chesapeake Ave
North Beach, MD 20714
Mailing address
8835 Chesapeake Ave
North Beach, MD 20714-5015
Phone (301) 399-4696
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LC2600 | Other | MD | LICENSE |
| 609550001 | Medicaid | MD |
Other providers in North Beach, MD
- Courtney Gray
- Lindsay Greenwald
- Hannah Kamsheh LLC
- Felesha Johnson
- Kairos Center Maryland, Inc
- Lotus Peace Massage, LLC
- Latrice McAllister
- Jason Matthew Meyer
- Angela Diona Miller
- Minerva Home Health Care, Inc
All providers in North Beach, MD · Mental Health Counselor in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.