John Backert, LCPC
Counselor, Professional in Baltimore, MD. Individual provider (NPI-1).
NPI number1750830170
StatusActive
Last updated in NPPESSep 12, 2018
Details
- NPI
- 1750830170
- Entity type
- Individual (NPI-1)
- Name
- John Backert
- Credential
- LCPC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 27, 2016
- Last updated
- Sep 12, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LC8756 | MD | Yes |
Practice location
9201 Philadelphia RdBaltimore, MD 21237
Phone 410-574-7700 · Fax 410-574-1522
Mailing address
9201 Philadelphia RdRosedale, MD 21237-4318
Phone 410-574-7700
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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