Individual provider Active NPI

Heather Dupre, LCPC

  • Professional Counselor
  • Baltimore, MD
National Provider Identifier
1740605633
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC6617 Issued in MD
Practice address
2225 N Charles St
Baltimore, MD 21218-5778
Phone
(410) 366-4360
Fax
(410) 366-4134
NPI assigned
Feb 28, 2014
Last updated
Mar 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC6617 MD Primary

Addresses

Primary practice location

2225 N Charles St
Baltimore, MD 21218-5778

Mailing address

645 N Paca St
Baltimore, MD 21201-1919
Phone (301) 465-0609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20240109000321 MD Practitioner - Mental Health Counselor 6305297920 Reassigns benefits to 2 organizations
I20240313002803 DC Practitioner - Mental Health Counselor 6305297920 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC6617MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Way Station, Inc. Current Accepting new patients
Mosaic Community Services, Inc CurrentSince Jan 1, 2024 Accepting new patients
Mosaic Community Services, Inc. Current Accepting new patients
Mosaic Community Services, Inc CurrentSince Jan 1, 2024 Accepting new patients
Family Services, Inc CurrentSince Jan 10, 2024 Accepting new patients
Family Services, Inc. CurrentSince Jan 10, 2024 Accepting new patients
Mosaic Community Services Past Accepting new patients
Still Water Counseling Services, LLC PastSince Sep 3, 2025 Accepting new patients

Locations

2225 N Charles St
Baltimore, MD 21218
Phone (410) 366-4360

210 Abrecht Pl
Frederick, MD 21701
Phone (301) 663-8263

610 E Diamond Ave
Ste 100
Gaithersburg, MD 20877
Phone (301) 840-2000

328 N Potomac St
Hagerstown, MD 21740
Phone (410) 740-1901

1925 Greenspring Dr
Timonium, MD 21093

1931 Greenspring Dr
Timonium, MD 21093
Phone (410) 938-3464

Organizations & group practices 8

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": "1393545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1740605633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 N PACA ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011919",
            "telephone_number": "301-465-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185778",
            "telephone_number": "410-366-4360",
            "fax_number": "410-366-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPRE",
        "first_name": "HEATHER",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-28",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC6617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.