Organization Active NPI

Connelly Stewart Counseling, LLC

  • Counselor
  • Frederick, MD
National Provider Identifier
1891266631
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
CONNELLY STEWART COUNSELING, LLC
Practice address
100 N Court St Ste 203
Frederick, MD 21701-5416
Phone
(240) 626-8301
NPI assigned
Dec 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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

Authorized official

Name
Ms. Connelly Stewart, LPCNPI 1962451500
Title
Authorized Official/Owner
Phone
(240) 626-8301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

100 N Court St Ste 203
Frederick, MD 21701-5416

Mailing address

100 N Court St Ste 203
Frederick, MD 21701-5416
Phone (240) 626-8301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240227003914 MD Part B Supplier - Clinic/Group Practice 2062857253 Receives reassigned benefits from 1 practitioner
Practice locations: Frederick, MD

National Provider Directory

National Provider Directory

Locations

100 N Court St
Ste 203
Frederick, MD 21701
Phone (240) 409-4596

100 N Court St
#203
Frederick, MD 21701
Phone (240) 626-8301

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543968000000",
    "number": "1891266631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N COURT ST STE 203",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015416",
            "telephone_number": "240-626-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N COURT ST STE 203",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015416",
            "telephone_number": "240-626-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNELLY STEWART COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-05",
        "last_updated": "2018-12-05",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "CONNELLY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/OWNER",
        "authorized_official_telephone_number": "240-626-8301",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "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 Dec 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.