Individual provider Active NPI

Mary Catherine Campbell

  • Professional Counselor
  • Westminster, MD
National Provider Identifier
1740998293
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC3194 Issued in MD
Practice address
288 E Green St
Westminster, MD 21157-5410
Phone
(410) 453-9553
NPI assigned
Nov 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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 LC3194 MD Primary

Addresses

Primary practice location

288 E Green St
Westminster, MD 21157-5410

Mailing address

288 E Green St
Westminster, MD 21157-5410
Phone (410) 453-9553

Other names 1

  • M Catherine Campbell Other name

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
I20240321004133 MD Practitioner - Mental Health Counselor 4789021072 Reassigns benefits to 2 organizations
I20240508004075 DC Practitioner - Mental Health Counselor 4789021072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mosaic Community Services, IncGroup PAC ID 0941289417, 63 clinicians

Practice addresses (Care Compare)

2225 N Charles St
Baltimore, MD 21218-5778
Phone (410) 938-5434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC3194MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Community Services, Inc CurrentSince Feb 13, 2024 Accepting new patients
Family Services, Inc. CurrentSince Feb 13, 2024 Accepting new patients
Mosaic Community Services, Inc. CurrentSince Feb 13, 2024 Accepting new patients
Way Station, Inc. Current Accepting new patients
Family Services, Inc CurrentSince Feb 13, 2024 Accepting new patients
Mosaic Community Services, Inc. Current 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

288 E Green St
Westminster, MD 21157
Phone (410) 751-5970

Organizations & group practices 6

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": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1740998293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 E GREEN ST",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575410",
            "telephone_number": "410-453-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 E GREEN ST",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575410",
            "telephone_number": "410-453-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC3194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M",
            "last_name": "CAMPBELL",
            "middle_name": "CATHERINE",
            "credential": "LCPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.