Active NPI
Robert Vinson, LCPC
- Professional Counselor
- Essex, MD
National Provider Identifier
1851946115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC11032
- Practice address
- 919 Back River Neck Rd
Essex, MD 21221-1923 - Phone
- (240) 329-4359
- NPI assigned
- Aug 5, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC11032 | MD | Primary |
Addresses
Primary practice location
919 Back River Neck Rd
Essex, MD 21221-1923
Mailing address
919 Back River Neck Rd
Essex, MD 21221-1923
Phone (240) 329-4359
Other practice location 1
595 Dunn Irvin Dr
Hagerstown, MD 21740-6343
Phone (301) 573-8609
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2026 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC11032 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Behavioral Health Services, LLC | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654214400000",
"number": "1851946115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "919 BACK RIVER NECK RD",
"city": "ESSEX",
"state": "MD",
"postal_code": "212211923",
"telephone_number": "240-329-4359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 BACK RIVER NECK RD",
"city": "ESSEX",
"state": "MD",
"postal_code": "212211923",
"telephone_number": "240-329-4359"
}
],
"practiceLocations": [
{
"address_1": "595 Dunn Irvin Dr",
"address_purpose": "LOCATION",
"city": "Hagerstown",
"state": "MD",
"postal_code": "217406343",
"country_code": "US",
"telephone_number": "301-573-8609",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VINSON",
"first_name": "ROBERT",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-05",
"last_updated": "2022-06-03",
"certification_date": "2022-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC11032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Essex, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.