ANNETTA DUNKLIN
NPI 1992470702
Counselor - Professional in Clinton, MD

Active since August 13, 2021PECOS EnrolledAccepts Medicare Assignment
9015 WOODYARD RD STE 208, CLINTON, MD 20735(202) 780-6659 Get Directions Write a Review

NPPES record last updated: August 13, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Annetta Dunklin NPPES

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

ANNETTA DUNKLIN (NPI 1992470702) is an individual professional provider in Clinton, Maryland, licensed in Maryland (LGPC11757) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1992470702
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameANNETTA DUNKLIN
Location Address9015 WOODYARD RD STE 208Clinton, MD 20735-4209
Mailing AddressPo Box 541Bowie, MD 20718-0541 · (202) 780-6659
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 13, 2021
NPPES CertifiedAugust 13, 2021
✔ NPI 1992470702 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 · LGPC11757
9015 WOODYARD RD STE 208, Clinton, MD 20735

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

Annetta Dunklin 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 ID8820577836
PECOS Enrollment IDI20260210002331
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 Annetta Dunklin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
12510 PROSPERITY DR STE 200
Silver Spring, MD 20904
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • Also billed through NPI 1730565839 (Maryland)
  • 9 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.

Other Providers at the Same Location NPPES 3

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

Counselor (Mental Health)
9015 WOODYARD RD STE 208
CLINTON, MD 20735
Occupational Therapist (Mental Health)
9015 WOODYARD RD STE 208
CLINTON, MD 20735
Social Worker
9015 WOODYARD RD STE 208
CLINTON, MD 20735

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 Annetta Dunklin's NPI number?

The NPI number for Annetta Dunklin is 1992470702. It was assigned to this individual provider in the NPPES registry on August 13, 2021.

Where is Annetta Dunklin located?

Annetta Dunklin practices at 9015 Woodyard Rd Ste 208, Clinton, MD 20735. The listed phone number is (202) 780-6659.

What is Annetta Dunklin's specialty?

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

Is Annetta Dunklin enrolled in Medicare?

Yes. Annetta Dunklin 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 Annetta Dunklin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Annetta Dunklin reassigns Medicare benefits to Thrive Behavioral Health, LLC (Silver Spring, MD). 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 Annetta Dunklin'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 Annetta Dunklin was last updated on August 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.