Active NPI
Kerry Kathleen McCommons, LCPC
- Professional Counselor
- Elkton, MD
National Provider Identifier
1780914796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC3450
- Practice address
- 200 Booth St
Elkton, MD 21921-5657 - Phone
- (443) 350-3260
- Fax
- (410) 939-8748
- NPI assigned
- Jan 14, 2010
- Last updated
- Jan 26, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC3450 | MD | Primary |
Addresses
Primary practice location
200 Booth St
Elkton, MD 21921-5657
Mailing address
17 Kintyre CT
Townsend, DE 19734-2864
Phone (302) 222-0065
Other names 1
- Ms. Kerry Tompkins
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC3450 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upper Bay Counseling and Support Services, Inc | Current | Accepting new patients | |
| Upper Bay Counseling & Support Services, Inc. | Current | Accepting new patients | |
| Rising Wellness Counseling LLC | Current | Accepting new patients | |
| Changing Tides Therapeutic & Consultative Services, LLC | Past | Accepting new patients |
Locations
200 Booth St
Elkton, MD 21921
Phone (410) 996-3400
71 Flint Dr
North East, MD 21901
Phone (410) 620-7161
Organizations & group practices 4
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.
-
- Clinical Social Worker
- Rising Sun, MD
- NPI 1619686649
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Elkton, MD
- NPI 1316912652
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Havre de Grace, MD
- NPI 1114252020
-
- Clinical Social Worker
- Elkton, MD
- NPI 1609518869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485388800000",
"number": "1780914796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 KINTYRE CT",
"city": "TOWNSEND",
"state": "DE",
"postal_code": "197342864",
"telephone_number": "302-222-0065",
"fax_number": "410-939-8748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BOOTH ST",
"city": "ELKTON",
"state": "MD",
"postal_code": "219215657",
"telephone_number": "443-350-3260",
"fax_number": "410-939-8748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOMMONS",
"first_name": "KERRY",
"middle_name": "KATHLEEN",
"name_prefix": "Mrs.",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-14",
"last_updated": "2017-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC3450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KERRY",
"last_name": "TOMPKINS",
"prefix": "MS.",
"credential": "LGPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Elkton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.