Colleen Kobus, MS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LGP10658 Issued in MD

Practice address

744 Dulaney Valley Rd Ste 17
Towson, MD 21204-5132

Phone

(443) 484-8480

NPI assigned

Jul 28, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1114536976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 DULANEY VALLEY RD STE 17",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212045132",
            "telephone_number": "443-484-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 DULANEY VALLEY RD STE 17",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212045132",
            "telephone_number": "443-484-8480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1332 Londontown Blvd Ste 119",
            "address_purpose": "LOCATION",
            "city": "Eldersburg",
            "state": "MD",
            "postal_code": "217846587",
            "country_code": "US",
            "telephone_number": "443-484-8480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5420 Klee Mill Rd S Ste 6",
            "address_purpose": "LOCATION",
            "city": "Sykesville",
            "state": "MD",
            "postal_code": "217849230",
            "country_code": "US",
            "telephone_number": "443-484-8480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOBUS",
        "first_name": "COLLEEN",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-11-19",
        "certification_date": "2020-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP10658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Towson, MD
• Providers in Towson, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.