Victoria Lynn Little, MS, LCPC, CPLC
Individual provider Active NPI Professional Counselor · Fallston, MD
NPI 1104470533 · NPPES record last updated Dec 14, 2022
Key facts
- NPI
- 1104470533
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LC9712 (MD)
- Practice address
- 1914 Bel Air Rd
Fallston, MD 21047-2724 - Phone
- (410) 387-9823
- NPI assigned
- Jul 24, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 14, 2025 through Apr 14, 2027
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC9712 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Brain Health LLC | Professional | Current |
Accepting new patients |
Locations
1914 Bel Air Rd
Fallston, MD 21047
Phone (410) 387-9823
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC9712 | MD | Yes |
Addresses
Primary practice location
1914 Bel Air Rd
Fallston, MD 21047-2724
Mailing address
1914 Bel Air Rd
Fallston, MD 21047-2724
Phone (410) 387-9823
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | IBHWC19@gmail.com |
Other providers in Fallston, MD
- Salvacion Garin Lazatin
- Jessica Lynn Lefler
- Robert Jason Lembach
- Lewis Chiropractic Center
- Howard Franklin Lewis
- Living Forward Counseling
- Sarah Lyden
- Roger W Marcus
- Shannon Nicole Marucci
- Maryland CVS Pharmacy LLC
All providers in Fallston, MD · Professional Counselor in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.