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MARY PRENDERGAST
NPI 1235481292
Counselor - Professional in Baltimore, MD

Active since October 15, 2012
4200 EDMONDSON AVE, BALTIMORE, MD 21229(443) 904-3174 Get Directions Write a Review

NPPES record last updated: October 15, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Prendergast NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY PRENDERGAST (NPI 1235481292) is an individual professional provider in Baltimore, Maryland, licensed in Maryland (LC4306) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1235481292
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARY PRENDERGAST
Location Address4200 EDMONDSON AVEBaltimore, MD 21229-1612
Mailing Address3901 Putty Hill AveNottingham, MD 21236-3630 · (443) 725-4257
Phone(443) 904-3174
Sole ProprietorNo
Enumeration DateOctober 15, 2012
✔ NPI 1235481292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MD · LC4306
4200 EDMONDSON AVE, Baltimore, MD 21229
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS-HC, LLC
Non-Pharmacy Dispensing Site
4200 EDMONDSON AVE, SUITE 101
BALTIMORE, MD 21229
Baltimore City (410) 947-0300
MR. DELROY WHITE JR.
Social Worker
4200 EDMONDSON AVE
BALTIMORE, MD 21229
Baltimore City (443) 255-9922
EXTENDED FAMILY ADULT DAYCARE, INC.
Clinic/Center (Adult Day Care)
4200 EDMONDSON AVE, SUITE 100
BALTIMORE, MD 21229
Baltimore City (410) 233-0048
DR. HELEN V BORO DC
Chiropractor
4200 EDMONDSON AVE
BALTIMORE, MD 21229
Baltimore City (410) 947-0300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Prendergast's NPI number?

The NPI number for Mary Prendergast is 1235481292. It was assigned to this individual provider in the NPPES registry on October 15, 2012.

Where is Mary Prendergast located?

Mary Prendergast practices at 4200 Edmondson Ave, Baltimore, MD 21229. The listed phone number is (443) 904-3174.

What is Mary Prendergast's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Mary Prendergast accept?

Health plans from Providence Health Plan list Mary Prendergast as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Prendergast was last updated on October 15, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.