Cara Andela, LCPC

Individual provider Active NPI Professional Counselor · Woodlawn, MD

NPI 1821368705 · NPPES record last updated Apr 25, 2019

Key facts

NPI
1821368705
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
LC4952 (MD)
Practice address
6707 Whitestone Rd Ste 106
Woodlawn, MD 21207-4140
Phone
(410) 265-8737
NPI assigned
Jan 9, 2012
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
004236-1NYMDMental Health Counselor
LC4952MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Stone Foundation, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 004236-1 NY
Professional Counselor 101YP2500X LC4952 MD Yes

Addresses

Primary practice location

6707 Whitestone Rd Ste 106
Woodlawn, MD 21207-4140

Mailing address

7 Hamill Rd Apt E
Baltimore, MD 21210-1708

Other practice location 1

1055 Taylor Ave
Suite 205
Towson, MD 21286-8317
Phone (410) 296-2004

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 25, 2019.

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1821368705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HAMILL RD APT E",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212101708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6707 WHITESTONE RD STE 106",
            "city": "WOODLAWN",
            "state": "MD",
            "postal_code": "212074140",
            "telephone_number": "410-265-8737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 Taylor Ave",
            "address_2": "Suite 205",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212868317",
            "country_code": "US",
            "telephone_number": "410-296-2004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDELA",
        "first_name": "CARA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-09",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004236-1",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC4952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodlawn, MD

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Sources for this page

Verify at the official NPI Registry.