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Active NPI 1336523802 Individual Practitioner Male Practitioner

Patrick Gollegly , LGPC, CAC-AD

Counselor • Cheverly, MD

Professional Overview & Biography Verified Profile Summary

Patrick Gollegly, LGPC, CAC-AD is a registered healthcare professional specializing in Counselor in Cheverly, MD. Practice services are available at 3003 HOSPITAL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3003 Hospital Dr

Cheverly, MD 207851194

Telephone 3015835920
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Cheverly, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
2 Specialists

Practicing in Cheverly, MD (1047 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License MD LGP5092

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.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License MD AC1192

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Ronald Bates , MA

Counselor - Addiction (Substance Use Disorder)

NPI 1063829406

Master of Arts

Jeffery Crayton

Counselor - Addiction (Substance Use Disorder)

NPI 1104234657
Cassandra Carter-Burns-Ross , PA

Physician Assistant - Medical

NPI 1356648141

Physician Assistant

Lisa Lewis

Behavior Analyst

NPI 1598129603
Sheryl Jackson

Counselor - Addiction (Substance Use Disorder)

NPI 1841607207

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 15, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 15, 2015

Registered at 3003 HOSPITAL DR, CHEVERLY, MD 207851194 (Tel: 3015835920)

📍
Updated Business Mailing Address July 15, 2015

Registered at 3003 HOSPITAL DR, CHEVERLY, MD 207851194 (Tel: 3015835920)

👤
Provider Name / Credentials Updated July 15, 2015

Recorded as PATRICK GOLLEGLY, LGPC, CAC-AD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2015

Counselor (License #LGP5092 in MD)

🟢
Initial NPI Registration & Enumeration July 15, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336523802
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2015
Last Update: July 15, 2015
Sole Proprietor: No

Mailing Address

3003 Hospital Dr

Cheverly, MD 207851194

Phone: 3015835920

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.