Individual provider Active NPI

Philip Guillet, MS, LCPC, NCC

  • Professional Counselor
  • Towson, MD
National Provider Identifier
1194273946
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC9051 Issued in MD
Practice address
8415 Bellona LN Ste 203
Towson, MD 21204-2066
Phone
(410) 777-8151
NPI assigned
Sep 21, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2024

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 LC9051 MD Primary

Addresses

Primary practice location

8415 Bellona LN Ste 203
Towson, MD 21204-2066

Mailing address

952 Redfield Rd Apt L
Bel Air, MD 21014-4697
Phone (410) 776-5946

Other practice location 1

2014 S Tollgate Rd Ste 208
Bel Air, MD 21015-5904
Phone (410) 670-3076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240110003451 MD Practitioner - Mental Health Counselor 5597116913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deborah L. Disney LCSW-C LLCGroup PAC ID 8224335609, 10 clinicians

Practice addresses (Care Compare)

8415 Bellona LN
Suite 203
Towson, MD 21204-2066
Phone (410) 777-8151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah L Disney LCSW-C LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

8415 Bellona Ln
Ste 203
Towson, MD 21204
Phone (410) 598-6023

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": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1194273946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 REDFIELD RD APT L",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144697",
            "telephone_number": "410-776-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8415 BELLONA LN STE 203",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042066",
            "telephone_number": "410-777-8151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2014 S Tollgate Rd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210155904",
            "country_code": "US",
            "telephone_number": "410-670-3076",
            "fax_number": "443-372-5365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUILLET",
        "first_name": "PHILIP",
        "name_prefix": "Mr.",
        "credential": "MS, LCPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-21",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC9051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.