Active NPI
Antron Dent, LCPC
- Professional Counselor
- Bryans Road, MD
National Provider Identifier
1811230972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC1888
- Practice address
- 3075 Livingston Rd
Bryans Road, MD 20616-4212 - Phone
- (410) 569-9497
- Fax
- (410) 569-0094
- NPI assigned
- Mar 27, 2013
- Sex
- Male
- 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 | LC1888 | MD | Primary |
Addresses
Primary practice location
3075 Livingston Rd
Bryans Road, MD 20616-4212
Mailing address
2227 Old Emmorton Rd
Suite 119
Bel Air, MD 21015-6187
Phone (410) 569-9497
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC1888 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364342400000",
"number": "1811230972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2227 OLD EMMORTON RD",
"address_2": "SUITE 119",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210156187",
"telephone_number": "410-569-9497",
"fax_number": "410-569-0094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3075 LIVINGSTON RD",
"city": "BRYANS ROAD",
"state": "MD",
"postal_code": "206164212",
"telephone_number": "410-569-9497",
"fax_number": "410-569-0094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENT",
"first_name": "ANTRON",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-27",
"last_updated": "2013-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC1888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bryans Road, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.