Individual provider Active NPI

Elizabeth Marie Kamnikar

  • Professional Counselor
  • Frederick, MD
National Provider Identifier
1871080481
Registry record updated Jul 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC9416 Issued in MD
Practice address
3528 Worthington Blvd Unit 201
Frederick, MD 21704-7010
Phone
(301) 288-1276
NPI assigned
Apr 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701012665 VA
Professional Counselor 101YP2500X LC9416 MD Primary

Addresses

Primary practice location

3528 Worthington Blvd Unit 201
Frederick, MD 21704-7010

Mailing address

3528 Worthington Blvd Unit 201
Frederick, MD 21704-7010
Phone (301) 288-1276

Other practice location 1

3290 Bennett Creek Ave Unit B303
Frederick, MD 21704-7672
Phone (301) 288-1276

Other practice location 2

1201 Seven Locks Rd Ste 360
Rockville, MD 20854-6901
Phone (301) 288-1276

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC9416MDMDProfessional Counselor
0701012665VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Olive & Oak Wellness Professional CurrentSince Oct 1, 2023 Accepting new patients

Locations

3290 Bennett Creek Ave
Unit B303
Frederick, MD 21704
Phone (301) 288-1276

3528 Worthington Blvd
Unit 201
Frederick, MD 21704
Phone (301) 288-1276

1201 Seven Locks Rd
Ste 360
Rockville, MD 20854
Phone (240) 428-1130

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722124800000",
    "number": "1871080481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3528 WORTHINGTON BLVD UNIT 201",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047010",
            "telephone_number": "301-288-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3528 WORTHINGTON BLVD UNIT 201",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047010",
            "telephone_number": "301-288-1276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3290 Bennett Creek Ave Unit B303",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217047672",
            "country_code": "US",
            "telephone_number": "301-288-1276",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Seven Locks Rd Ste 360",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208546901",
            "country_code": "US",
            "telephone_number": "301-288-1276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMNIKAR",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-18",
        "last_updated": "2024-07-28",
        "certification_date": "2024-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701012665",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC9416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2024; 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.