Peter Jonathan Buckingham, LGPC, MA, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LGP10211 Issued in MD

Practice address

3102 Floral Park Rd
Clinton, MD 20735-9665

Phone

(301) 292-2778

NPI assigned

Feb 6, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Safe Harbor Christian Counseling of Southern Maryland, LLC

  • Professional Counselor
  • Clinton, MD
  • NPI 1467663179
  NPD (past)

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1992337018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 FLORAL PARK RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207359665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 FLORAL PARK RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207359665",
            "telephone_number": "301-292-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKINGHAM",
        "first_name": "PETER",
        "middle_name": "JONATHAN",
        "credential": "LGPC, MA, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP10211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Brown
• Karen Brubaker
• Lutasha S Brunson
• Christine Ioney Bryant, NP
• Christine Elizabeth Buckingham, LCPC
• Linda Buckmon
• Built to Win Counseling Services
• Destiny Bullock
• Tameka Bullock, LCSW-C
• Kisha Terrell Bunn

• Mental Health Counselor in Clinton, MD
• Providers in Clinton, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.