Individual provider Active NPI

Emily Dufrane, LGPC

  • Counselor
  • Timonium, MD
National Provider Identifier
1114561578
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LGP9963 Issued in MD
Practice address
1206 York Rd Ste 202
Timonium, MD 21093-6217
Phone
(443) 718-0496
NPI assigned
Oct 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LGP9963 MD Primary

Addresses

Primary practice location

1206 York Rd Ste 202
Timonium, MD 21093-6217

Mailing address

2318 Eastridge Rd
Timonium, MD 21093-2505

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Timonium

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
LGP9963MDMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1114561578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 EASTRIDGE RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 YORK RD STE 202",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210936217",
            "telephone_number": "443-718-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFRANE",
        "first_name": "EMILY",
        "credential": "LGPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LGP9963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Timonium",
            "affiliation": "N",
            "address_1": "1206 York Rd Ste 202",
            "city": "Timonium",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210936217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.

Verify at the official NPI Registry.