Individual provider Active NPI

Taylor E Douthitt, LCPC

  • Professional Counselor
  • Cumberland, MD
National Provider Identifier
1194212688
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC10108 Issued in MD
Practice address
12502 Willowbrook Rd
Cumberland, MD 21502-6491
Phone
(240) 964-8585
Fax
(240) 964-8586
NPI assigned
Apr 19, 2018
Last updated
Dec 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LGP8516 MD
Professional Counselor 101YP2500X LC10108 MD Primary

Addresses

Primary practice location

12502 Willowbrook Rd
Cumberland, MD 21502-6491

Mailing address

12502 Willowbrook Rd
Cumberland, MD 21502-6491
Phone (240) 964-8585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LGP8516MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Catholic Charities, Inc. Current Accepting new patients

Locations

2300 Dulaney Valley Rd
Ste B
Timonium, MD 21093

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1194212688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12502 WILLOWBROOK RD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215026491",
            "telephone_number": "240-964-8585",
            "fax_number": "240-964-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12502 WILLOWBROOK RD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215026491",
            "telephone_number": "240-964-8585",
            "fax_number": "240-964-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUTHITT",
        "first_name": "TAYLOR",
        "middle_name": "E",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-19",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP8516",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC10108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

Verify at the official NPI Registry.