Active NPI
Nancy June Ebbert, LCPC
- Mental Health Counselor
- Germantown, MD
National Provider Identifier
1821352188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LC4515
- Practice address
- 18 Executive Park CT
Germantown, MD 20874-2645 - Phone
- (301) 428-3557
- Fax
- (301) 972-6635
- NPI assigned
- Jul 1, 2012
- Last updated
- Jul 1, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LC4515 | MD | Primary |
Addresses
Primary practice location
18 Executive Park CT
Germantown, MD 20874-2645
Mailing address
18 Executive Park CT
Germantown, MD 20874-2645
Phone (301) 428-3557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 5, 2024 through Mar 5, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC4515 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341100800000",
"number": "1821352188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 EXECUTIVE PARK CT",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208742645",
"telephone_number": "301-428-3557",
"fax_number": "301-972-6635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 EXECUTIVE PARK CT",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208742645",
"telephone_number": "301-428-3557",
"fax_number": "301-972-6635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBBERT",
"first_name": "NANCY",
"middle_name": "JUNE",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-01",
"last_updated": "2012-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LC4515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Germantown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.