Individual provider Active NPI

Katherine Ann Bonincontri, LCPC

  • Mental Health Counselor
  • Gambrills, MD
National Provider Identifier
1962680645
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC2400 Issued in MD
Practice address
741 Annapolis Rd
Gambrills, MD 21054-1308
Phone
(410) 975-0067
Fax
(410) 975-0204
NPI assigned
Feb 5, 2008
Last updated
Jan 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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 LC2400 MD Primary

Addresses

Primary practice location

741 Annapolis Rd
Gambrills, MD 21054-1308

Mailing address

PO Box 180
Odenton, MD 21113-0180
Phone (410) 975-0067

Other practice location 1

43 Community Pl
Crownsville, MD 21032-2034
Phone (410) 571-4500

Other names 1

  • Katherine Rovendro Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20240620000399 MD Practitioner - Mental Health Counselor 5890130124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert a. Pascal Youth and Family Services, Inc.Group PAC ID 6406933472, 6 clinicians

Practice addresses (Care Compare)

43 Community PL
Crownsville, MD 21032-2034
Phone (470) 975-0067

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC2400MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Robert a. Pascal Youth & Family Services, Inc. Multi-Specialty CurrentSince Apr 12, 2024 Accepting new patients
Robert a. Pascal Youth and Family Services, Inc. Multi-Specialty Past Accepting new patients

Locations

43 Community Pl
Crownsville, MD 21032
Phone (410) 571-4500

741 Annapolis Rd
Gambrills, MD 21054

Organizations & group practices 4

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": "1202169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1962680645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 180",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211130180",
            "telephone_number": "410-975-0067",
            "fax_number": "410-975-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 ANNAPOLIS RD",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541308",
            "telephone_number": "410-975-0067",
            "fax_number": "410-975-0204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43 Community Pl",
            "address_purpose": "LOCATION",
            "city": "Crownsville",
            "state": "MD",
            "postal_code": "210322034",
            "country_code": "US",
            "telephone_number": "410-571-4500",
            "fax_number": "410-923-1329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONINCONTRI",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-05",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC2400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "ROVENDRO",
            "credential": "LCPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gambrills, MD

Sources for this page

Verify at the official NPI Registry.