CMS-1500 Box 24J / 33a • NPI
1326585076
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
101YP2500X (CMS E2)
Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor
Box 32 Service Location & ZIP+4
137 MITCHELLS CHANCE RD, 260, EDGEWATER, MD, 21037-2787
✓ 9-Digit EDI 837 ZIP+4 (21037-2787)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1326585076 (ANDREW T. GERGELY, M.D.,L.C.C.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1326585076 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ANDREW T. GERGELY, M.D.,L.C.C. |
| Plain-English Specialty | Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor NUCC Code: 101YP2500X (Counselor, Professional) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 137 MITCHELLS CHANCE RD, 260, EDGEWATER, MD, 21037-2787 |
| Practice Telephone / Fax | Tel: (410) 956-5300 | Fax: (410) 956-5301 |
| Administrative Mailing Address | 3175 W WARD RD, DUNKIRK, MD, 20754-3020 |
| Enumeration & Last Sync | Enumerated: 2017-01-19 | CMS Record Updated: 2017-01-19 |
| Authorized Official | PHYLIS MCCULLOUGH (Office Manager) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (101YP2500X)
What Does Taxonomy Code 101YP2500X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 101YP2500X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ANDREW T. GERGELY, M.D.,L.C.C.)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
101YP2500X — Counselor, ProfessionalPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor | State: MD | License: LC1239 | Primary: Secondary |
101YP2500X — Counselor, ProfessionalPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor | State: MD | License: LC6770 | Primary: Secondary |
1041C0700X — Social Worker, ClinicalPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical | State: MD | License: 09927 | Primary: Secondary |
1041C0700X — Social Worker, ClinicalPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical | State: MD | License: 03914 | Primary: Secondary |
1041C0700X — Social Worker, ClinicalPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical | State: MD | License: 12303 | Primary: Secondary |
2084P0800X — Psychiatry & Neurology, PsychiatryPlain English: Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician) | State: MD | License: D43972 | Primary: Secondary |
101YP2500X — Counselor, ProfessionalPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor | State: MD | License: LC0630 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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