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STEPHANY ALEXANDRA PONCIANO GUEVARA LCPC
NPI 1679041321
Counselor - Professional in Germantown, MD

Active since November 10, 2018Opted out of Medicare · through Mar 1, 2028
13228 EXECUTIVE PARK TER, GERMANTOWN, MD 20874(240) 489-1108 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jan 26, 2026, Nov 10, 2018 (2 updates tracked since 2018).

About Stephany Alexandra Ponciano Guevara Lcpc NPPES

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

STEPHANY ALEXANDRA PONCIANO GUEVARA LCPC (NPI 1679041321) is an individual professional provider in Germantown, Maryland, licensed in Maryland (LGP9096) and active in the NPI registry since November 2018. She has opted out of Medicare through March 1, 2028 and maintains a secondary practice location in Hagerstown.

NPPES Registry Identity

NPI1679041321
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSTEPHANY ALEXANDRA PONCIANO GUEVARACredential: LCPC
Location Address13228 EXECUTIVE PARK TERGermantown, MD 20874-2640
Mailing Address13228 Executive Park TerGermantown, MD 20874-2640 · (240) 489-1108
Phone(240) 489-1108
Sole ProprietorYes
Enumeration DateNovember 10, 2018
Last NPPES UpdateJanuary 26, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
✔ NPI 1679041321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in MD · LGP9096✔ Licensed in MD · LC10924
13228 EXECUTIVE PARK TER, Germantown, MD 20874
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Secondary Practice Location 1

Location 1354 Mill StHagerstown, MD 21740-6138 · Phone (240) 489-1108

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Stephany Alexandra Ponciano Guevara Lcpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 1, 2024 through March 1, 2028.

Opt-Out Effective DateMarch 1, 2024
Opt-Out In Effect ThroughMarch 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 14

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

KELLI DIXON
Marriage & Family Therapist
13228 EXECUTIVE PARK TER
GERMANTOWN, MD 20874
Montgomery County (240) 489-1108
MRS. INGRID FAVIOLA PONCIANO LMFT
Marriage & Family Therapist
13228 EXECUTIVE PARK TER
GERMANTOWN, MD 20874
Montgomery County (240) 489-1108
KELLY LEE WILLIAMS
Social Worker
13228 EXECUTIVE PARK TER
GERMANTOWN, MD 20874
Montgomery County (240) 489-1108
SHELLY THOMPSON
Counselor (Mental Health)
13228 EXECUTIVE PARK TER
GERMANTOWN, MD 20874
Montgomery County (240) 489-1108
SARA MITCHELL
Social Worker
13228 EXECUTIVE PARK TER
GERMANTOWN, MD 20874
Montgomery County (240) 489-1108
MS. AMANDA CORNAGLIA LGPC
Counselor (Mental Health)
13228 EXECUTIVE PARK TER
GERMANTOWN, MD 20874
Montgomery County (240) 489-1108
OMNIA SALEM LCPC
Counselor (Mental Health)
13228 EXECUTIVE PARK TER
GERMANTOWN, MD 20874
Montgomery County (240) 489-1108
KALINA SIMEONOVA
Counselor (Professional)
13228 EXECUTIVE PARK TER
GERMANTOWN, MD 20874
Montgomery County (240) 489-1108

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 Stephany Ponciano Guevara's NPI number?

The NPI number for Stephany Ponciano Guevara is 1679041321. It was assigned to this individual provider in the NPPES registry on November 10, 2018.

Where is Stephany Ponciano Guevara located?

Stephany Ponciano Guevara practices at 13228 Executive Park Ter, Germantown, MD 20874. The listed phone number is (240) 489-1108.

What is Stephany Ponciano Guevara's specialty?

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

Is Stephany Ponciano Guevara enrolled in Medicare?

No. Stephany Ponciano Guevara has opted out of Medicare through March 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Stephany Ponciano Guevara was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.