Individual provider Active NPI

Destiny J T Hilliard-Thomas, LCPC

  • Professional Counselor
  • Baltimore, MD
National Provider Identifier
1124603766
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC13621 Issued in MD
Practice address
711 W 40TH St Ste 206
Baltimore, MD 21211-2108
Phone
(410) 842-6055
NPI assigned
Mar 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC13621 MD Primary
Mental Health Counselor 101YM0800X LC13621 MD
Counselor 101Y00000X LC13621 MD

Addresses

Primary practice location

711 W 40TH St Ste 206
Baltimore, MD 21211-2108

Mailing address

12358 Bonfire Dr
Reisterstown, MD 21136-1712
Phone (732) 533-3806

Other practice location 1

12358 Bonfire Dr
Reisterstown, MD 21136-1712
Phone (732) 533-3806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240417000913 MD Practitioner - Mental Health Counselor 9032558549 Reassigns benefits to 1 organization
I20260518002398 DC Practitioner - Mental Health Counselor 9032558549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Johns Hopkins University School of Medicine, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

150 Post Office Rd
Unit 823
Waldorf, MD 20604-7501

9320 Annapolis Rd
Suite 340
Lanham, MD 20706-3129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
B'More Mental Health and Wellness, LLC CurrentSince Jun 23, 2025 Accepting new patients
B'More Mental Health and Wellness, LLC Mental Health CurrentSince Jan 30, 2024 Accepting new patients
McGuire Therapeutic Services, LLC CurrentSince May 22, 2025 Accepting new patients
Metsuyan Healthcare LLC Past Accepting new patients

Locations

711 W 40th St
Ste 206
Baltimore, MD 21211
Phone (410) 842-6055

9320 Annapolis Rd
Ste 340
Lanham, MD 20706
Phone (301) 731-1222

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1124603766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12358 BONFIRE DR",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361712",
            "telephone_number": "732-533-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W 40TH ST STE 206",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112108",
            "telephone_number": "410-842-6055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12358 Bonfire Dr",
            "address_purpose": "LOCATION",
            "city": "Reisterstown",
            "state": "MD",
            "postal_code": "211361712",
            "country_code": "US",
            "telephone_number": "732-533-3806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILLIARD-THOMAS",
        "first_name": "DESTINY",
        "middle_name": "J T",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-15",
        "last_updated": "2025-03-04",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC13621",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC13621",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LC13621",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.