Individual provider Active NPI

Elinor D Metz, LCPC

  • Mental Health Counselor
  • Rockville, MD
National Provider Identifier
1922088574
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC0500 Issued in MD
Practice address
15701 Crabbs Branch Way
Rockville, MD 20855-2634
Phone
(757) 348-2964
Fax
(301) 251-0136
NPI assigned
Jan 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC0500 MD Primary

Addresses

Primary practice location

15701 Crabbs Branch Way
Rockville, MD 20855-2634

Mailing address

15701 Crabbs Branch Way
Rockville, MD 20855-2634
Phone (757) 348-2964

Other identifiers 2

IdentifierTypeStateIssuer
77260032OtherDCBLUE CROSS BLUE SCHEILD
60510801OtherMDBLUE CROSS BLUE SCHEILD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240104000439 DC Practitioner - Mental Health Counselor 9931550985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Willow Oak Therapy Center, IncGroup PAC ID 5698661023, 18 clinicians

Practice addresses (Care Compare)

15701 Crabbs Branch Way
Rockville, MD 20855-2634
Phone (301) 251-8965

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC0500MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Oak Therapy Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Jody Tabner Thayer LLC PastSince Dec 24, 2023 Accepting new patients

Locations

15701 Crabbs Branch Way
Rockville, MD 20855
Phone (301) 251-8965

50 W Montgomery Ave
Ste 110
Rockville, MD 20850
Phone (301) 251-8965

Organizations & group practices 2

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1922088574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15701 CRABBS BRANCH WAY",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208552634",
            "telephone_number": "757-348-2964",
            "fax_number": "301-251-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15701 CRABBS BRANCH WAY",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208552634",
            "telephone_number": "757-348-2964",
            "fax_number": "301-251-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZ",
        "first_name": "ELINOR",
        "middle_name": "D",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC0500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SCHEILD",
            "identifier": "77260032",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SCHEILD",
            "identifier": "60510801",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.