Individual provider Active NPI

Lawrence Rakhmanov, LCPC

  • Mental Health Counselor
  • Ellicott City, MD
National Provider Identifier
1073042057
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3525 Ellicott Mills Dr Ste G
Ellicott City, MD 21043-4638
Phone
(410) 988-8092
NPI assigned
Jun 5, 2017
Last updated
Feb 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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 NU Primary

Addresses

Primary practice location

3525 Ellicott Mills Dr Ste G
Ellicott City, MD 21043-4638

Mailing address

3525 Ellicott Mills Dr Ste G
Ellicott City, MD 21043-4638
Phone (301) 778-4431

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

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Counseling and Wellness Mental Health Current Accepting new patients
Psychiatry Specialities Clinics, LLC PastSince Oct 15, 2023 Accepting new patients

Locations

3525 Ellicott Mills Dr
Ste G
Ellicott City, MD 21043
Phone (301) 778-4431

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1073042057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 ELLICOTT MILLS DR STE G",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434638",
            "telephone_number": "301-778-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 ELLICOTT MILLS DR STE G",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434638",
            "telephone_number": "410-988-8092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKHMANOV",
        "first_name": "LAWRENCE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-05",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.