Carly Cannavina, LGPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LGPC200002983 Issued in DC

Practice address

6110 Executive Blvd Ste 540
North Bethesda, MD 20852-3948

Phone

(202) 750-1028

NPI assigned

Oct 13, 2025

Last updated

Oct 13, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1811863236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 SUN VALLEY WAY",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079502042",
            "telephone_number": "973-452-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 EXECUTIVE BLVD STE 540",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208523948",
            "telephone_number": "202-750-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNAVINA",
        "first_name": "CARLY",
        "credential": "LGPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "LGPC200002983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in North Bethesda, MD
• Providers in North Bethesda, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.