MR. MARK DAVID DONOVAN LCPC, LCADC
NPI 1912909730
Counselor - Professional in Columbia, MD

Q: What is Mark Donovan's NPI number?

The NPI number for Mark Donovan is 1912909730. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Q: What is Mark Donovan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Donovan was last updated on February 9, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 11, 2005PECOS EnrolledAccepts Medicare Assignment

10630 LITTLE PATUXENT PKWY STE 209, COLUMBIA, MD 21044(410) 740-8066(410) 740-8068 Get Directions Write a Review

NPPES record last updated: February 9, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. Mark David Donovan Lcpc, Lcadc NPPES

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

MR. MARK DAVID DONOVAN LCPC, LCADC (NPI 1912909730) is an individual professional provider in Columbia, Maryland, licensed in Maryland (LC0912) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1912909730

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMR. MARK DAVID DONOVANCredential: LCPC, LCADC

Location Address10630 LITTLE PATUXENT PKWY STE 209Columbia, MD 21044-6278

Mailing Address10630 Little Patuxent Pkwy, Suite 209Columbia, MD 21044-3264 · (410) 740-8066 · Fax (410) 740-8068

Phone(410) 740-8066

Fax(410) 740-8068

Sole ProprietorYes

Medical School CMSOtherGraduated 1997

Enumeration DateAugust 11, 2005

Last NPPES UpdateFebruary 9, 2021

NPPES CertifiedFebruary 9, 2021

✔ NPI 1912909730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MD · LC0912

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LCA414 (MD)

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LC0912 (MD)

10630 LITTLE PATUXENT PKWY STE 209, Columbia, MD 21044

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Mark David Donovan Lcpc, Lcadc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224430061

PECOS Enrollment IDI20240312003046

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.

Other Providers at the Same Location NPPES 20

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

MS. NANCY FREEDMAN LANDIS LCPC

Counselor (Professional)