Active NPI
Courtney Fantasia St John, M.ED., LGPC
- Counselor
- Silver Spring, MD
National Provider Identifier
1043079874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LGP14915
- Practice address
- 8730 Georgia Ave Ste 200D
Silver Spring, MD 20910-3651 - Phone
- (571) 721-1347
- NPI assigned
- Mar 14, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LGP14915 | MD | Primary |
Addresses
Primary practice location
8730 Georgia Ave Ste 200D
Silver Spring, MD 20910-3651
Mailing address
5908 Darel St
Suitland, MD 20746-3832
Phone (301) 442-2398
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP14915 | MD | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1043079874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5908 DAREL ST",
"city": "SUITLAND",
"state": "MD",
"postal_code": "207463832",
"telephone_number": "301-442-2398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8730 GEORGIA AVE STE 200D",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209103651",
"telephone_number": "571-721-1347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST JOHN",
"first_name": "COURTNEY",
"middle_name": "FANTASIA",
"credential": "M.ED., LGPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-14",
"last_updated": "2024-03-14",
"certification_date": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MD",
"license": "LGP14915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.