Individual provider Active NPI

Erica B Bley, LCPC

  • School Counselor
  • Lutherville, MD
National Provider Identifier
1053605204
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
License
LC3828 Issued in MD
Practice address
121 E Ridgely Rd
Lutherville, MD 21093-5222
Phone
(443) 809-5017
NPI assigned
Jun 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X LC3828 MD Primary

Addresses

Primary practice location

121 E Ridgely Rd
Lutherville, MD 21093-5222

Mailing address

14307 Dairydale Rd
Baldwin, MD 21013-9633
Phone (443) 797-7710

Other practice location 1

5310 Hazelwood Ave
Baltimore, MD 21206-2232
Phone (410) 569-9497

Other names 1

  • Ms. Erica L Beck Former name

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

LicenseStateTypeSpecialty
LC3828MDMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Harbor Christian Counseling Professional Past Accepting new patients
Safe Harbor Christian Counseling LLC Professional Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1053605204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14307 DAIRYDALE RD",
            "city": "BALDWIN",
            "state": "MD",
            "postal_code": "210139633",
            "telephone_number": "443-797-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E RIDGELY RD",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935222",
            "telephone_number": "443-809-5017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5310 Hazelwood Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212062232",
            "country_code": "US",
            "telephone_number": "410-569-9497",
            "fax_number": "410-569-0094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLEY",
        "first_name": "ERICA",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-06",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MD",
            "license": "LC3828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "BECK",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "LCPC,  NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.