Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Antietam Family Health LLC

Organization Professional Counselor · NPI 1477366722

Antietam Family Health LLC is a Professional Counselor in Frederick, Maryland. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

427 E Patrick St
Frederick, MD 21701-5777
Phone: (240) 866-8173
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X
Professional Counselor Taxonomy 101YP2500X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1477366722
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Roncone — Owner-Provider · (240) 203-8864
NPI enumeratedJanuary 30, 2025
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026
Mailing address1219 Mount Aetna Rd Ste 300, Hagerstown, MD 21742-6550

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