Active NPI
Karla Lawrence, LCPC, BC-TMH
- Professional Counselor
- Hyattsville, MD
National Provider Identifier
1104136183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC3668
- Practice address
- 5557 Baltimore Ave Ste 500-1026
Hyattsville, MD 20781-1922 - Phone
- (240) 257-2787
- NPI assigned
- Oct 8, 2010
- Reactivated
- Aug 9, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC3668 | MD | Primary |
Addresses
Primary practice location
5557 Baltimore Ave Ste 500-1026
Hyattsville, MD 20781-1922
Mailing address
PO Box 334
College Park, MD 20741-0334
Other practice location 1
9811 Mallard Dr
Suite 209
Laurel, MD 20708-3143
Phone (240) 257-2787
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
| License | State | Type | Specialty |
|---|---|---|---|
| LC3668 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Joy LLC | Current | 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.
-
- Adult Mental Health Clinic/Center
- Laurel, MD
- NPI 1437965050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568505600000",
"number": "1104136183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 334",
"city": "COLLEGE PARK",
"state": "MD",
"postal_code": "207410334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5557 BALTIMORE AVE STE 500-1026",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207811922",
"telephone_number": "240-257-2787"
}
],
"practiceLocations": [
{
"address_1": "9811 Mallard Dr",
"address_2": "Suite 209",
"address_purpose": "LOCATION",
"city": "Laurel",
"state": "MD",
"postal_code": "207083143",
"country_code": "US",
"telephone_number": "240-257-2787",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAWRENCE",
"first_name": "KARLA",
"credential": "LCPC, BC-TMH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-08",
"last_updated": "2019-09-15",
"deactivation_date": "2018-04-04",
"reactivation_date": "2019-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC3668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hyattsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.