Active NPI
Rachel Bacon
- Professional Counselor
- Cockeysville, MD
National Provider Identifier
1023526928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC10044
- Practice address
- 54 Scott Adam Rd Ste 108
Cockeysville, MD 21030-3351 - Phone
- (410) 916-7928
- NPI assigned
- Jan 14, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LGP8408 | MD | |
| Professional Counselor | 101YP2500X | PC018040 | PA | |
| Professional Counselor | 101YP2500X | LC10044 | MD | Primary |
Addresses
Primary practice location
54 Scott Adam Rd Ste 108
Cockeysville, MD 21030-3351
Mailing address
4704 Gross Mill Rd
Hampstead, MD 21074-2536
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 21, 2025 through Apr 21, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP8408 | MD | MD | Mental Health Counselor |
| LC10044 | MD | MD | Professional Counselor |
| PC018040 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744156800000",
"number": "1023526928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4704 GROSS MILL RD",
"city": "HAMPSTEAD",
"state": "MD",
"postal_code": "210742536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 SCOTT ADAM RD STE 108",
"city": "COCKEYSVILLE",
"state": "MD",
"postal_code": "210303351",
"telephone_number": "410-916-7928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACON",
"first_name": "RACHEL",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-14",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LGP8408",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC018040",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC10044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cockeysville, MD
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- Stephanie Baker Kennedy, MS, CCC-SLP
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- Baltimore County Dept of Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.