Individual provider Active NPI

Laura Katherine Sherline, LCPC

  • Professional Counselor
  • Cockeysville, MD
National Provider Identifier
1164647236
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC1667 Issued in MD
Practice address
900 Bosley Rd
Cockeysville, MD 21030
Phone
(410) 887-7665
Fax
(410) 887-7666
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC1667 MD Primary

Addresses

Primary practice location

900 Bosley Rd
Cockeysville, MD 21030

Mailing address

900 Bosley Rd
Cockeysville, MD 21030-3112
Phone (410) 887-7665

Other practice location 1

8813 Waltham Woods Rd
Suite 302
Baltimore, MD 21234-2450
Phone (410) 665-8081

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
LC1667MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Family Counseling Center of Baltimore, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1164647236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 BOSLEY RD",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210303112",
            "telephone_number": "410-887-7665",
            "fax_number": "410-887-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 BOSLEY RD",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "21030",
            "telephone_number": "410-887-7665",
            "fax_number": "410-887-7666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8813 Waltham Woods Rd",
            "address_2": "Suite 302",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212342450",
            "country_code": "US",
            "telephone_number": "410-665-8081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERLINE",
        "first_name": "LAURA",
        "middle_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC1667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cockeysville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.