Emer Mary Donnelly Nelson, LGPC
Individual provider Active NPI Professional Counselor · Frederick, MD
NPI 1790283463 · NPPES record last updated Jan 29, 2018
Key facts
- NPI
- 1790283463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LGP8407 (MD)
- Practice address
- 1003 W 7TH St Ste 500
Frederick, MD 21701-8512 - Phone
- (301) 345-1022
- Fax
- (301) 560-5558
- NPI assigned
- Jan 29, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Advanced Behavioral Health Inc
Practice addresses (Care Compare)
1003 W 7TH St
Suite 500
Frederick, MD 21701-8512
Phone (301) 345-1022
7474 Greenway Ctr Dr
Suite 730
Greenbelt, MD 20770-3523
Phone (301) 345-1022
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, 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 |
|---|---|---|---|---|
| I20240612003420 | DC | Practitioner - Mental Health Counselor | 5496297814 | Reassigns benefits to 1 organization |
| I20240612003932 | MD | Practitioner - Mental Health Counselor | 5496297814 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP8407 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Behavioral Health, Inc | Current |
Accepting new patients |
Locations
5820 York Rd
Ste 202
Baltimore, MD 21212
Phone (301) 345-7012
1003 W 7th St
Ste 500
Frederick, MD 21701
Phone (240) 297-1567
7474 Greenway Center Dr
Ste 730
Greenbelt, MD 20770
Phone (301) 982-3437
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LGP8407 | MD | Yes |
Addresses
Primary practice location
1003 W 7TH St Ste 500
Frederick, MD 21701-8512
Mailing address
7474 Greenway Center Dr Ste 730
Greenbelt, MD 20770-3523
Phone (301) 345-1022
Other providers in Frederick, MD
- Doctors First Professional Corporation
- Johanna M Dolan
- Dolores LLC
- Alan J Dombrosky
- Andrew Oliver Donelson
- Abigail Donnelly
- Colin Andrew Donovan
- Todd Doran
- Emily Dorsey
- Rose Dorsky
All providers in Frederick, MD · Professional 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 Jan 29, 2018. 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.