Individual provider Active NPI

Amber Demarr Flynn, M.A., NCC, LCPC

  • Professional Counselor
  • Columbia, MD
National Provider Identifier
1881116952
Registry record updated Jul 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC7938 Issued in MD
Practice address
9650 Santiago Rd
Columbia, MD 21045-3957
Phone
(301) 596-5759
Fax
(410) 995-5587
NPI assigned
Jul 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2017

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 .0013580 CO
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LC7938 MD Primary

Addresses

Primary practice location

9650 Santiago Rd
Columbia, MD 21045-3957

Mailing address

11766 Carriage House Dr
Silver Spring, MD 20904-2267
Phone (702) 510-3908

Other names 1

  • Amber Demarr Marcelin Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
.0013580COMDProfessional Counselor
LC7938MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Practice Counseling, Inc CurrentSince Oct 25, 2020 Accepting new patients

Locations

6930 Carroll Ave
Ste 438
Takoma Park, MD 20912

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.

NPI Registry JSON

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499731200000",
    "number": "1881116952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11766 CARRIAGE HOUSE DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042267",
            "telephone_number": "702-510-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9650 SANTIAGO RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453957",
            "telephone_number": "301-596-5759",
            "fax_number": "410-995-5587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "AMBER",
        "middle_name": "DEMARR",
        "credential": "M.A., NCC, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2017-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": ".0013580",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC7938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "MARCELIN",
            "middle_name": "DEMARR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2017; 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.