Individual provider Active NPI

Karen Evon Joyner

  • Professional Counselor
  • Bel Air, MD
National Provider Identifier
1053971358
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC13295 Issued in MD
Practice address
1208 E Churchville Rd Ste 300
Bel Air, MD 21014-3485
Phone
(410) 893-4600
Fax
(443) 640-4600
NPI assigned
Jun 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC13295 MD Primary

Addresses

Primary practice location

1208 E Churchville Rd Ste 300
Bel Air, MD 21014-3485

Mailing address

2742 Sweet Clover CT
Silver Spring, MD 20904-1888

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
LC13295MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shaping Professional CurrentSince Dec 1, 2023 Accepting new patients
Shaping Marriages in the Lord'S Eye-Smile, LLC. CurrentSince Jan 29, 2023 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": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1053971358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2742 SWEET CLOVER CT",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 E CHURCHVILLE RD STE 300",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143485",
            "telephone_number": "410-893-4600",
            "fax_number": "443-640-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOYNER",
        "first_name": "KAREN",
        "middle_name": "EVON",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC13295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.