Active NPI
Bianca Desiree Minor
- Professional Counselor
- Aberdeen, MD
National Provider Identifier
1104474063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LGP9842
- Practice address
- 135 N Parke St
Aberdeen, MD 21001-2428 - Phone
- (443) 625-1600
- Fax
- (443) 625-1520
- NPI assigned
- Sep 3, 2019
- Sex
- Female
- Sole proprietor
- No
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 | LGP9842 | MD | Primary |
Addresses
Primary practice location
135 N Parke St
Aberdeen, MD 21001-2428
Mailing address
135 N Parke St
Aberdeen, MD 21001-2428
Phone (757) 806-1559
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 |
|---|---|---|---|
| LGP9842 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Just Nice Wellness 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1083373294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567468800000",
"number": "1104474063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 N PARKE ST",
"city": "ABERDEEN",
"state": "MD",
"postal_code": "210012428",
"telephone_number": "757-806-1559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 N PARKE ST",
"city": "ABERDEEN",
"state": "MD",
"postal_code": "210012428",
"telephone_number": "443-625-1600",
"fax_number": "443-625-1520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINOR",
"first_name": "BIANCA",
"middle_name": "DESIREE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-03",
"last_updated": "2019-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LGP9842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aberdeen, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.