Active NPI
Katrina Nicole Garrison, LCPC
- Mental Health Counselor
- Odenton, MD
National Provider Identifier
1124468939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LGP4664
- Practice address
- 326 Baldwin Rd Unit 241
Odenton, MD 21113-1276 - Phone
- (402) 517-2886
- NPI assigned
- Jun 26, 2013
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 37PC00822600 | NJ | |
| Professional Counselor | 101YP2500X | LC5861 | MD | |
| Professional Counselor | 101YP2500X | 37PC00822600 | NJ | |
| Mental Health Counselor | 101YM0800X | LGP4664 | MD | Primary |
Addresses
Primary practice location
326 Baldwin Rd Unit 241
Odenton, MD 21113-1276
Mailing address
326 Baldwin Rd Unit 241
Odenton, MD 21113-1276
Phone (240) 517-2886
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 |
|---|---|---|---|
| LGP4664 | MD | MD | Mental Health Counselor |
| LC5861 | MD | MD | Professional Counselor |
| 37PC00822600 | NJ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646265600000",
"number": "1124468939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 BALDWIN RD UNIT 241",
"city": "ODENTON",
"state": "MD",
"postal_code": "211131276",
"telephone_number": "240-517-2886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 BALDWIN RD UNIT 241",
"city": "ODENTON",
"state": "MD",
"postal_code": "211131276",
"telephone_number": "402-517-2886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRISON",
"first_name": "KATRINA",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-26",
"last_updated": "2022-03-03",
"certification_date": "2022-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37PC00822600",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC5861",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00822600",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LGP4664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Odenton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.