Individual provider Active NPI

Charity Ann Humm, LGPC

  • Counselor
  • Lexington Park, MD
National Provider Identifier
1962997098
Registry record updated Jul 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LGP7874 Issued in MD
Practice address
22776 Three Notch Rd Ste 102
Lexington Park, MD 20653-3369
Phone
(301) 880-4833
NPI assigned
Jul 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LGP7874 MD Primary

Addresses

Primary practice location

22776 Three Notch Rd Ste 102
Lexington Park, MD 20653-3369

Mailing address

6050 Fir Rd
Saint Leonard, MD 20685-2512
Phone (216) 903-0712

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

LicenseStateTypeSpecialty
LGP7874MDMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ann Cassetta, MPT, GTS, LLC PastSince Mar 20, 2021 Accepting new patients
Pax River Counseling, LLC Past Accepting new patients

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": "1530403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530403200000",
    "number": "1962997098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 FIR RD",
            "city": "SAINT LEONARD",
            "state": "MD",
            "postal_code": "206852512",
            "telephone_number": "216-903-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22776 THREE NOTCH RD STE 102",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206533369",
            "telephone_number": "301-880-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMM",
        "first_name": "CHARITY",
        "middle_name": "ANN",
        "credential": "LGPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-01",
        "last_updated": "2018-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LGP7874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.