Individual provider Active NPI

Daniel C Stinchcomb

  • Professional Counselor
  • Columbia, MD
National Provider Identifier
1790911840
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC0304 Issued in MD
Practice address
7178 Columbia Gateway Dr
Columbia, MD 21046-2581
Phone
(410) 313-6202
Fax
(410) 313-6212
NPI assigned
Jun 3, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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 LC0304 MD Primary

Addresses

Primary practice location

7178 Columbia Gateway Dr
Columbia, MD 21046-2581

Mailing address

7178 Columbia Gateway Dr
Columbia, MD 21046-2581
Phone (410) 313-6202

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240618001239 MD Practitioner - Mental Health Counselor 5991248015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centrepointe Counseling IncGroup PAC ID 8628021664, 10 clinicians

Practice addresses (Care Compare)

4550 Centennial LN
Ellicott City, MD 21042-6274
Phone (800) 491-5369

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC0304MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Centrepointe Counseling, Inc. CurrentSince Apr 12, 2024 Accepting new patients
Howard County Health Department - Bureau of Addictions Past Accepting new patients
Howard County Health Department Past Accepting new patients
Centrepointe Counseling, Inc. PastSince Apr 12, 2024 Accepting new patients

Locations

17826 New Hampshire Ave
Ashton, MD 20861
Phone (800) 491-5639

4550 Centennial Ln
Ellicott City, MD 21042

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243987200000",
    "number": "1790911840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7178 COLUMBIA GATEWAY DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462581",
            "telephone_number": "410-313-6202",
            "fax_number": "410-313-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7178 COLUMBIA GATEWAY DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462581",
            "telephone_number": "410-313-6202",
            "fax_number": "410-313-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINCHCOMB",
        "first_name": "DANIEL",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC0304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.