MRS. RAE PEARL GIMOTEA CANIZARES LGPC
NPI 1811710528
Counselor - Mental Health in Rockville, MD

Active since November 02, 2024PECOS Enrolled
203 FREDERICK AVE, ROCKVILLE, MD 20850(301) 219-5357 Get Directions Write a Review

NPPES record last updated: November 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Rae Pearl Gimotea Canizares Lgpc NPPES

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

MRS. RAE PEARL GIMOTEA CANIZARES LGPC (NPI 1811710528) is an individual mental health provider in Rockville, Maryland, licensed in Maryland (LGP14893) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1811710528
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. RAE PEARL GIMOTEA CANIZARESCredential: LGPC
Location Address203 FREDERICK AVERockville, MD 20850-1212
Mailing Address203 Frederick AveRockville, MD 20850-1212 · (301) 219-5357
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 2, 2024
NPPES CertifiedNovember 2, 2024
NPI 1811710528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MD · LGP14893
203 FREDERICK AVE, Rockville, MD 20850

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Rae Pearl Gimotea Canizares Lgpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456830868
PECOS Enrollment IDI20260205004071, I20260401001887
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 Rae Pearl Canizares's NPI number?

The NPI number for Rae Pearl Canizares is 1811710528. It was assigned to this individual provider in the NPPES registry on November 2, 2024.

Where is Rae Pearl Canizares located?

Rae Pearl Canizares practices at 203 Frederick Ave, Rockville, MD 20850. The listed phone number is (301) 219-5357.

What is Rae Pearl Canizares's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Rae Pearl Canizares enrolled in Medicare?

Yes. Rae Pearl Canizares is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rae Pearl Canizares was last updated on November 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.