Active NPI
Gregory Bearstop, LCADC
- Addiction (Substance Use Disorder) Counselor
- Bowie, MD
National Provider Identifier
1962811687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LCA278
- Practice address
- 3635 Elder Oaks Blvd
1407
Bowie, MD 20716-3303 - Phone
- (443) 852-0507
- NPI assigned
- Aug 6, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCA278 | MD | Primary |
Addresses
Primary practice location
3635 Elder Oaks Blvd
1407
Bowie, MD 20716-3303
Mailing address
3635 Elder Oaks Blvd
Apartment # 1407
Bowie, MD 20716-3303
Phone (443) 852-0507
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCA278 | MD | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407283200000",
"number": "1962811687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3635 ELDER OAKS BLVD",
"address_2": "APARTMENT # 1407",
"city": "BOWIE",
"state": "MD",
"postal_code": "207163303",
"telephone_number": "443-852-0507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3635 ELDER OAKS BLVD",
"address_2": "1407",
"city": "BOWIE",
"state": "MD",
"postal_code": "207163303",
"telephone_number": "443-852-0507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEARSTOP",
"first_name": "GREGORY",
"credential": "LCADC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-06",
"last_updated": "2014-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MD",
"license": "LCA278",
"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 Aug 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.