Lynn Bass, LCPC
Individual provider Active NPI Mental Health Counselor · Baltimore, MD
NPI 1811547730 · NPPES record last updated Jun 15, 2023
Key facts
- NPI
- 1811547730
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 13707 (MD)
- Practice address
- 3240 Belair Rd
Baltimore, MD 21213-1228 - Phone
- (410) 878-0655
- NPI assigned
- Sep 12, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in 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 |
|---|---|---|---|---|
| I20241231002827 | MD | Practitioner - Mental Health Counselor | 9638606700 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13707 | MD | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Psychiatric Services LLC | Current |
Accepting new patients | |
| Advantage Psychiatric Services LLC | Current | Accepting new patients | |
| Advantage Psychiatric Services LLC | Current |
Accepting new patients |
Locations
306 W Pulaski Hwy
Elkton, MD 21921
Phone 4106863629 ext. 417
253 Lewis Ln
Ste 101
Havre de Grace, MD 21078
Phone (321) 474-4661
910 Revolution St
Hvre de Grace, MD 21078
Phone (410) 919-9665
5024 Campbell Blvd
Ste A
Nottingham, MD 21236
Phone 4106863629110
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 13707 | MD | Yes |
Addresses
Primary practice location
3240 Belair Rd
Baltimore, MD 21213-1228
Mailing address
8 Cherry LN
Perryville, MD 21903-2036
Phone (443) 206-9225
Other providers in Baltimore, MD
- Sarah Elizabeth Basore
- Alagra S Bass
- Barry A Bass
- Eric B Bass
- Katherine Miller Bass
- Marquise Mengue Bass
- Richard J Bass
- Robert Redwood Bass
- Nahbila Christine Bassah
- Sahra Bassami
All providers in Baltimore, MD · Mental Health 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 Jun 15, 2023. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.