Individual provider Active NPI

Tatiana Nya Ford

  • Mental Health Counselor
  • Towson, MD
National Provider Identifier
1033800917
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LGP13806 Issued in MD
Practice address
320 E Towsontown Blvd Ste 201
Towson, MD 21286-5331
Phone
(443) 953-8922
NPI assigned
May 19, 2023
Last updated
May 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LGP13806 MD Primary

Addresses

Primary practice location

320 E Towsontown Blvd Ste 201
Towson, MD 21286-5331

Mailing address

5901 Marluth Ave
Baltimore, MD 21206-2719
Phone (443) 615-8037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arundel Mental Health Professionals LCGroup PAC ID 4981688173, 118 clinicians

Practice addresses (Care Compare)

2650 Quarry Lake Dr
Suite 200
Baltimore, MD 21209-3756
Phone (410) 757-2077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LGP13806MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mind & Soul Telewellness LLC Mental Health CurrentSince May 19, 2024 Accepting new patients

Locations

320 E Towsontown Blvd
Ste 201
Towson, MD 21286
Phone (410) 296-2004

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1033800917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 MARLUTH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212062719",
            "telephone_number": "443-615-8037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E TOWSONTOWN BLVD STE 201",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865331",
            "telephone_number": "443-953-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "TATIANA",
        "middle_name": "NYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP13806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.