Individual provider Active NPI

Kelly Guyton

  • Professional Counselor
  • Baltimore, MD
National Provider Identifier
1023589843
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC11622 Issued in MD
Practice address
6535 N Charles St Ste 300
Baltimore, MD 21204-5824
Phone
(443) 604-5988
Fax
(410) 427-3859
NPI assigned
Dec 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LGP9207 MD
Professional Counselor 101YP2500X LC11622 MD Primary

Addresses

Primary practice location

6535 N Charles St Ste 300
Baltimore, MD 21204-5824

Mailing address

6535 N Charles St Ste 300
Baltimore, MD 21204-5824
Phone (443) 604-5988

Other identifiers 1

IdentifierTypeStateIssuer
38-3876389MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250219003649 MD Practitioner - Mental Health Counselor 1951777374 Reassigns benefits to 1 organization
I20250512002851 DC Practitioner - Mental Health Counselor 1951777374 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LGP9207MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Dec 12, 2024 Accepting new patients
Grow Healthcare Group PA Professional CurrentSince Apr 12, 2025 Accepting new patients
Privia Medical Group, LLC CurrentSince Dec 12, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

301 Saint Paul St
Ste 409
Baltimore, MD 21202
Phone (410) 659-7041

16 Greenmeadow Dr
Ste 302
Timonium, MD 21093
Phone (443) 449-5604

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1023589843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6535 N CHARLES ST STE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212045824",
            "telephone_number": "443-604-5988",
            "fax_number": "410-427-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 N CHARLES ST STE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212045824",
            "telephone_number": "443-604-5988",
            "fax_number": "410-427-3859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUYTON",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-06",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP9207",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC11622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38-3876389",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.