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
- Last updated
- Sep 15, 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, 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": "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.