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

Antietam Family Health, LLC

Organization Professional Counselor · NPI 1548972318

Antietam Family Health, LLC is a Professional Counselor in Hagerstown, Maryland. Works from 3 locations. Registered with an NPI since 2022.

In the registry since
2022
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

1219 Mount Aetna Rd Ste 201
Hagerstown, MD 21742-6550
Phone: (240) 203-8864
Fax: (240) 866-8173
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 427 E Patrick St, Frederick, MD 21701-5777 — (240) 203-8864
  • 330 Frederick St, Hagerstown, MD 21740-6112 — (240) 203-8864

Specialties & licences

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

Record details

NPI number1548972318
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Roncone — Owner · (240) 203-8864
NPI enumeratedDecember 23, 2022
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026
Mailing address1219 Mount Aetna Rd Ste 201, Hagerstown, MD 21742-6550

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