Active NPI
Tia Luana Myers, LCPC
- Professional Counselor
- Prince Frederick, MD
National Provider Identifier
1104485911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC12625
- Practice address
- 2004 Baythorne Rd
Prince Frederick, MD 20678-3534 - Phone
- (410) 231-8293
- Fax
- (443) 342-0553
- NPI assigned
- Jun 6, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC12625 | MD | Primary |
| Professional Counselor | 101YP2500X | LGP9486 | MD |
Addresses
Primary practice location
2004 Baythorne Rd
Prince Frederick, MD 20678-3534
Mailing address
2004 Baythorne Rd
Prince Frederick, MD 20678-3534
Phone (410) 231-8293
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 |
|---|---|---|---|
| LC12625 | MD | MD | Professional Counselor |
| LGP9486 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transitions Counseling, 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.
-
- Community/Behavioral Health Agency
- Prince Frederick, MD
- NPI 1053057877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651708800000",
"number": "1104485911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2004 BAYTHORNE RD",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "206783534",
"telephone_number": "410-231-8293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2004 BAYTHORNE RD",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "206783534",
"telephone_number": "410-231-8293",
"fax_number": "443-342-0553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "TIA",
"middle_name": "LUANA",
"name_prefix": "Mrs.",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-06",
"last_updated": "2022-05-05",
"certification_date": "2022-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC12625",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LGP9486",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prince Frederick, MD
- Julie Nicole Mulligan, CAC-ADP
- Anwar Munshi
- Michelle Munson, NP-C
- Rebecca Murphy, PA-C
- Taylor Nicole Mutchler
- Myeyedr Optometry of Maryland, LLC (MyEyeDr.)
- Myeyedr Optometry of Maryland, LLC (MyEyeDr.)
- Nai Saturn Eastern LLC (Safeway Pharmacy #1731)
- Nai Saturn Eastern LLC (Safeway Pharmacy #1731)
- Cynthia Diane Nash, CRNP-PMH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.