Active NPI
Mary K. McIndoe, LPC, LCPC
- Counselor
- Bowie, MD
National Provider Identifier
1891184818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0701005995
- Practice address
- 13214 Pine Rd
Bowie, MD 20720-4746 - Phone
- (240) 206-6064
- Fax
- (301) 809-0495
- NPI assigned
- Jan 14, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LC5658 | MD | |
| Counselor | 101Y00000X | 0701005995 | VA | Primary |
Addresses
Primary practice location
13214 Pine Rd
Bowie, MD 20720-4746
Mailing address
13214 Pine Rd
Bowie, MD 20720-4746
Phone (240) 206-6064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
21531 Waterview Rd
Lewes, DE 19958-5727
Phone (240) 206-6064
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC5658 | MD | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kathy McIndoe LLC | Current | 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.
-
- Professional Counselor
- Lewes, DE
- NPI 1720805906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703635200000",
"number": "1891184818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13214 PINE RD",
"city": "BOWIE",
"state": "MD",
"postal_code": "207204746",
"telephone_number": "240-206-6064",
"fax_number": "013-809-0495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13214 PINE RD",
"city": "BOWIE",
"state": "MD",
"postal_code": "207204746",
"telephone_number": "240-206-6064",
"fax_number": "301-809-0495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINDOE",
"first_name": "MARY",
"middle_name": "K.",
"credential": "LPC, LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-14",
"last_updated": "2023-12-27",
"certification_date": "2023-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MD",
"license": "LC5658",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "VA",
"license": "0701005995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.