Individual provider Active NPI

Munsu Kwon, LCPC

  • Professional Counselor
  • Silver Spring, MD
National Provider Identifier
1750446779
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC1945 Issued in MD
Practice address
11508 Sutherland Hill Way
Silver Spring, MD 20904-4206
Phone
(301) 625-3342
Fax
(301) 625-3342
NPI assigned
Dec 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LC1945 MD Primary

Addresses

Primary practice location

11508 Sutherland Hill Way
Silver Spring, MD 20904-4206

Mailing address

11508 Sutherland Hill Way
Silver Spring, MD 20904-4206
Phone (301) 625-3342

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
I20240229002848 DC Practitioner - Mental Health Counselor 4082059092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cornerstone Montgomery IncGroup PAC ID 3971591751, 23 clinicians

Practice addresses (Care Compare)

1398 Lamberton Dr
Silver Spring, MD 20902-3414
Phone (301) 493-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC1945MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Montgomery, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Cornerstone Montgomery, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

6040 Southport Dr
Bethesda, MD 20814
Phone 3014934200228

2 Taft Ct
Ste 200
Rockville, MD 20850
Phone (301) 715-3673

1398 Lamberton Dr
Silver Spring, MD 20902
Phone (301) 754-1102

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, 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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750446779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11508 SUTHERLAND HILL WAY",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209044206",
            "telephone_number": "301-625-3342",
            "fax_number": "301-625-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11508 SUTHERLAND HILL WAY",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209044206",
            "telephone_number": "301-625-3342",
            "fax_number": "301-625-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "MUNSU",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC1945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.