Active NPI
Destiny J T Hilliard-Thomas, LCPC
- Professional Counselor
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC13621
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B'More Mental Health and Wellness, LLC | Current | Accepting new patients | |
| B'More Mental Health and Wellness, LLC | Mental Health | Current | Accepting new patients |
| McGuire Therapeutic Services, LLC | Current | 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.
-
- Mental Health Counselor
- Baltimore, MD
- NPI 1487129813
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lanham, MD
- NPI 1922693696
DC
-
- Physician Assistant
- Baltimore, MD
- NPI 1740177294
-
- Psychiatric/Mental Health Nurse Practitioner
- Wheaton, MD
- NPI 1801646005
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.