Individual provider Active NPI

Evelyn White Lloyd, RN,MS,CS-P

  • Mental Health Counselor
  • Ellicott City, MD
National Provider Identifier
1093930257
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
RO38679 Issued in MD
Practice address
5074 Dorsey Hall Dr
Ste 104
Ellicott City, MD 21042-7792
Phone
(301) 596-5733
NPI assigned
Apr 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2008

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 RO38679 MD Primary

Addresses

Primary practice location

5074 Dorsey Hall Dr
Ste 104
Ellicott City, MD 21042-7792

Mailing address

5533 Suffield CT
Columbia, MD 21044-2773
Phone (410) 730-1148

Other identifiers 1

IdentifierTypeStateIssuer
100410700MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171009002950 MD Practitioner - Certified Clinical Nurse Specialist (CNS) 7719142348 Practice locations: Ellicott City, MD

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5074 Dorsey Hall Dr
Suite 104
Ellicott City, MD 21042-7794
Phone (301) 596-5733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RO38679MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor K LLC PastSince Feb 9, 2025 Accepting new patients

Organizations & group practices 1

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": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1093930257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5533 SUFFIELD CT",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442773",
            "telephone_number": "410-730-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5074 DORSEY HALL DR",
            "address_2": "STE 104",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427792",
            "telephone_number": "301-596-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLOYD",
        "first_name": "EVELYN",
        "middle_name": "WHITE",
        "name_prefix": "Ms.",
        "credential": "RN,MS,CS-P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-14",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "RO38679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100410700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

Verify at the official NPI Registry.