KENDALL DOUVILLE
NPI 1982201125
Social Worker - Clinical in Columbia, MD

Active since October 01, 2020PECOS EnrolledAccepts Medicare Assignment
5410 LYNX LN STE 285, COLUMBIA, MD 21044(107) 403-2404(617) 807-0958 Get Directions Write a Review

NPPES record last updated: October 1, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kendall Douville NPPES

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

KENDALL DOUVILLE (NPI 1982201125) is an individual clinical provider in Columbia, Maryland, licensed in Maryland (21580) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1982201125
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKENDALL DOUVILLE
Location Address5410 LYNX LN STE 285Columbia, MD 21044-2483
Mailing Address1000 Jefferson St Ste 2cLynchburg, VA 24504-1724 · (540) 217-6461 · Fax (617) 807-0958
Fax(617) 807-0958
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 1, 2020
NPPES CertifiedOctober 1, 2020
✔ NPI 1982201125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MD · 21580
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
5410 LYNX LN STE 285, Columbia, MD 21044

Other Names 1

Former Name (1)Kendall Spera

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kendall Douville 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 ID3870904139
PECOS Enrollment IDI20201118001386
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.

Medicare Billing Reassignment

Medicare enrollment records show Kendall Douville reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504
  • Reassigned Medicare billing, Maryland enrollment
  • 65 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21044 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.73 – $183.44
Typical copayment $0.00 (range $15.18 – $45.86)
Most-billed visit code NA
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

Nurse Practitioner (Psychiatric/Mental Health)
5410 LYNX LN STE 285
COLUMBIA, MD 21044
Social Worker (Clinical)
5410 LYNX LN STE 285
COLUMBIA, MD 21044
Counselor (Professional)
5410 LYNX LN STE 285
COLUMBIA, MD 21044
Counselor (Mental Health)
5410 LYNX LN STE 285
COLUMBIA, MD 21044
Social Worker (Clinical)
5410 LYNX LN STE 285
COLUMBIA, MD 21044
Social Worker (Clinical)
5410 LYNX LN STE 285
COLUMBIA, MD 21044
Counselor (Professional)
5410 LYNX LN STE 285
COLUMBIA, MD 21044
Social Worker (Clinical)
5410 LYNX LN STE 285
COLUMBIA, MD 21044

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 Kendall Douville's NPI number?

The NPI number for Kendall Douville is 1982201125. It was assigned to this individual provider in the NPPES registry on October 1, 2020. The provider is also known as Kendall Spera.

Where is Kendall Douville located?

Kendall Douville practices at 5410 Lynx Ln Ste 285, Columbia, MD 21044. The listed phone number is (107) 403-2404.

What is Kendall Douville's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kendall Douville enrolled in Medicare?

Yes. Kendall Douville is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kendall Douville's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kendall Douville reassigns Medicare benefits to Thrive Counseling LLC (Lynchburg, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kendall Douville's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kendall Douville was last updated on October 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.