Individual provider Active NPI

Hillary M Cullen

  • Counselor
  • Prince Frederick, MD
National Provider Identifier
1841647252
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LGPC Issued in MD
Practice address
65 Duke St
Ste 202
Prince Frederick, MD 20678-6128
Phone
(301) 659-0817
Fax
(877) 334-9731
NPI assigned
May 17, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LGPC MD Primary

Addresses

Primary practice location

65 Duke St
Ste 202
Prince Frederick, MD 20678-6128

Mailing address

3600 29TH St
Chesapeake Beach, MD 20732-9250
Phone (301) 659-0817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260518003305 MD Practitioner - Mental Health Counselor 6103395256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andrew T Gergely, MD and Associates, LLCGroup PAC ID 1456323237, 16 clinicians

Practice addresses (Care Compare)

3175 W Ward Rd
Suite 200
Dunkirk, MD 20754-3024
Phone (410) 286-0664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LGPCMDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gilead Christian Counseling LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1841647252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 29TH ST",
            "city": "CHESAPEAKE BEACH",
            "state": "MD",
            "postal_code": "207329250",
            "telephone_number": "301-659-0817",
            "fax_number": "877-334-9731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 DUKE ST",
            "address_2": "STE 202",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206786128",
            "telephone_number": "301-659-0817",
            "fax_number": "877-334-9731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLEN",
        "first_name": "HILLARY",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LGPC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

Verify at the official NPI Registry.