Individual provider Active NPI

Erin Birely, LCPC

  • Professional Counselor
  • Cockeysville, MD
National Provider Identifier
1104228626
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC6122 Issued in MD
Practice address
12 Galloway Ave Ste 3F
Cockeysville, MD 21030-4956
Phone
(410) 292-4912
NPI assigned
Sep 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LGP5325 MD
Professional Counselor 101YP2500X LC6122 MD Primary

Addresses

Primary practice location

12 Galloway Ave Ste 3F
Cockeysville, MD 21030-4956

Mailing address

1506 Ivy Hill Rd
Cockeysville, MD 21030-1418
Phone (410) 292-4912

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
LC6122MDMDProfessional Counselor
LGP5325MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Birely Counseling Services, LLC Professional CurrentSince Jul 21, 2024 Accepting new patients

Locations

12 Galloway Ave
Ste 3F
Cockeysville, MD 21030
Phone (410) 292-4912

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": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1104228626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 IVY HILL RD",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210301418",
            "telephone_number": "410-292-4912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 GALLOWAY AVE STE 3F",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210304956",
            "telephone_number": "410-292-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRELY",
        "first_name": "ERIN",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-16",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP5325",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC6122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cockeysville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.