STELLA MARIE MANTAKOS LCPC
NPI 1619777869
Counselor - Professional in Joppa, MD

Active since March 17, 2025PECOS Enrolled
1300 OLD JOPPA RD, JOPPA, MD 21085(443) 963-7800 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stella Marie Mantakos Lcpc NPPES

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

STELLA MARIE MANTAKOS LCPC (NPI 1619777869) is an individual professional provider in Joppa, Maryland, licensed in Maryland (LC7178) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619777869
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSTELLA MARIE MANTAKOSCredential: LCPC
Location Address1300 OLD JOPPA RDJoppa, MD 21085-3316
Mailing Address1300 Old Joppa RdJoppa, MD 21085-3316 · (443) 963-7800
Sole ProprietorYes
Enumeration DateMarch 17, 2025
NPPES CertifiedMarch 17, 2025
NPI 1619777869 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 · LC7178
1300 OLD JOPPA RD, Joppa, MD 21085

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Stella Marie Mantakos Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Stella Mantakos's NPI number?

The NPI number for Stella Mantakos is 1619777869. It was assigned to this individual provider in the NPPES registry on March 17, 2025.

Where is Stella Mantakos located?

Stella Mantakos practices at 1300 Old Joppa Rd, Joppa, MD 21085. The listed phone number is (443) 963-7800.

What is Stella Mantakos's specialty?

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

Is Stella Mantakos enrolled in Medicare?

Yes. Stella Mantakos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stella Mantakos was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.