STACEY KATHERYN LUNDQUIST (NPI# 1508330903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508330903 |
| Entity Type | Individual |
| Full Name | STACEY KATHERYN LUNDQUIST |
| Credential | LGPC |
| Practice Address |
3060 Michellville Rd Suite 106 Bowie MD 20716 |
| Mailing Address |
7316 Bramblebush Ter Laurel MD 20707-9514 |
| Practice Telephone | 4108934600 |
| Practice Fax Number | 4436404358 |
| Mailing Telephone | 6465328486 |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-01-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LGP8365 | MD | Behavioral Health & Social Service Providers |
| Street Address |
3060 MICHELLVILLE RD SUITE 106 |
| City | BOWIE |
| State | MD |
| Zip Code | 20716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427528819 | Nicole Rudd | Counselor | 4315 Northview Dr, Bowie, MD 20716 | 2018-11-28 |
| 1427541838 | Outreach Recovery II, LLC | Internal Medicine | 4201 Northview Dr Ste 104, Bowie, MD 20716 | 2018-06-11 |
| 1487143608 | Fatimata Koroma | Counselor | 3953 Elite St, Bowie, MD 20716 | 2018-05-02 |
| 1043739618 | Breanna Collinson | Behavior Technician | 3017 New Oak Ln., Bowie, MD 20716 | 2017-09-15 |
| 1790202000 | Sierra Williams Howell | Nurse Practitioner | 2802 Eliston Street, Bowie, MD 20716 | 2017-08-28 |
| 1487175105 | Martine Jean | Technician | 15911 Pointer Ridge Rd, Bowie, MD 20716 | 2017-07-03 |
| 1902254493 | Olachi Enwerem | Licensed Practical Nurse | 16206 Audubon Lane, Bowie, MD 20716 | 2016-05-25 |
| 1780039230 | Debra Lachaune Garris | Specialist | 3042 Mitchiville Road, Bowie, MD 20716 | 2016-05-03 |
| 1750782553 | Medical Trasportation Systems LLC | Non-emergency Medical Transport (VAN) | 16036 Elegant Ave, Bowie, MD 20716 | 2014-09-11 |
| 1255762902 | Sukhbir Singh Bhurji | Physician Assistant | 4000 Mitchellville Rd Ste B322, Bowie, MD 20716 | 2013-12-05 |
| Find all providers in zip 20716 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598224651 | Ronald Williams | Counselor | 12341 Quarterback Ct, Bowie, MD 20720-4398 | 2019-03-18 |
| 1487143608 | Fatimata Koroma | Counselor | 3953 Elite St, Bowie, MD 20716 | 2018-05-02 |
| 1689086456 | Angel Marie Thompson | Counselor | 1935 Barrington Ct, Bowie, MD 20721-2703 | 2014-05-28 |
| 1295152064 | Tiffany Jones | Counselor | 14834 London Ln, Bowie, MD 20715-2545 | 2014-03-18 |
| 1275867533 | Glenda Ruth Goodwin | Counselor | 409 N Smythe St, Bowie, TX 76230-4826 | 2009-09-18 |
| 1760890008 | Crystal Ford | Counselor | 2905 Mitchellville Rd, 201, Bowie, MD 20716-1385 | 2014-07-31 |
| 1306152731 | Nikki Poindexter Ham | Counselor | 3060 Mitchellville Rd, Bowie, MD 20716-1389 | 2010-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104426519 | Elvis Sobo | Counselor | 4203 58th Ave Apt 7, Bladensburg, MD 20710-1911 | 2020-10-27 |
| 1285232066 | Philip B Terry-smith | Counselor | 8419 Shillelagh Dr, Severn, MD 21144-3141 | 2020-10-13 |
| 1861099863 | Paraklete Consulting, LLC | Counselor | 20870 Old York Rd, Parkton, MD 21120-9137 | 2020-10-03 |
| 1699381467 | Monique Gaston | Counselor | Well Life Counseling and Consulting, 9649 Belair Road, Ste. 104, Nottingham, MD 21236 | 2020-09-17 |
| 1003422023 | Cecelia A. Rubertone | Counselor | 9813 Gartrell Pl, Kensington, MD 20895-3743 | 2020-09-16 |
| 1003422072 | True Balance Counseling Collective | Counselor | 1602 Providence Rd, Towson, MD 21286-1525 | 2020-09-16 |
| 1104430453 | Rita Prisca Nzuwah | Counselor | 7628 S Arbory Ln, Laurel, MD 20707-5534 | 2020-09-03 |
| 1649883836 | Frances Newton Washington | Counselor | 8924 Loughran Rd, Fort Washington, MD 20744-6780 | 2020-08-26 |
| 1265044986 | Block Counseling and Personal Wellness Strategies LLC | Counselor | 3523 Piney Woods Pl Apt G101, Laurel, MD 20724-6019 | 2020-08-24 |
| 1568074482 | Julia Patricia Sanders | Counselor | 1302 Brockton Dr, Eldersburg, MD 21784-8846 | 2020-08-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.