Active NPI
Brenda M. Carroll, LCPC
- Counselor
- Towson, MD
National Provider Identifier
1033514807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LC5859
- Practice address
- 7402 York Road
Suite 300
Towson, MD 21204-7522 - Phone
- (443) 529-6623
- NPI assigned
- Oct 23, 2014
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCA2422 | MD | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00204000 | NJ | |
| Counselor | 101Y00000X | LC5859 | MD | Primary |
Addresses
Primary practice location
7402 York Road
Suite 300
Towson, MD 21204-7522
Mailing address
7402 York Road
Suite 300
Towson, MD 21204-7522
Phone (443) 529-6623
Other practice location 1
1501 S. Clinton Street
Mailstop CT 05-13
Baltimore, MD 21224
Phone (443) 529-6623
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC5859 | MD | MD | Counselor |
| LCA2422 | MD | MD | Addiction (Substance Use Disorder) Counselor |
| 37LC00204000 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1033514807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7402 YORK ROAD",
"address_2": "SUITE 300",
"city": "TOWSON",
"state": "MD",
"postal_code": "212047522",
"telephone_number": "443-529-6623",
"fax_number": "410-825-6038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7402 YORK ROAD",
"address_2": "SUITE 300",
"city": "TOWSON",
"state": "MD",
"postal_code": "212047522",
"telephone_number": "443-529-6623"
}
],
"practiceLocations": [
{
"address_1": "1501 S. Clinton Street",
"address_2": "Mailstop CT 05-13",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "21224",
"country_code": "US",
"telephone_number": "443-529-6623",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARROLL",
"first_name": "BRENDA",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-23",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MD",
"license": "LCA2422",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "37LC00204000",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MD",
"license": "LC5859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.