Active NPI
Savannah Rourk, LGPC
- Counselor
- Stevensville, MD
National Provider Identifier
1215773569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LGP15275
- Practice address
- 155 Log Canoe Cir
Stevensville, MD 21666-2127 - Phone
- (410) 604-0226
- NPI assigned
- Jul 6, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LGP15275 | MD | Primary |
Addresses
Primary practice location
155 Log Canoe Cir
Stevensville, MD 21666-2127
Mailing address
155 Log Canoe Cir
Stevensville, MD 21666-2127
Phone (410) 604-0226
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
| License | State | Type | Specialty |
|---|---|---|---|
| LGP15275 | MD | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720224000000",
"number": "1215773569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 LOG CANOE CIR",
"city": "STEVENSVILLE",
"state": "MD",
"postal_code": "216662127",
"telephone_number": "410-604-0226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 LOG CANOE CIR",
"city": "STEVENSVILLE",
"state": "MD",
"postal_code": "216662127",
"telephone_number": "410-604-0226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROURK",
"first_name": "SAVANNAH",
"credential": "LGPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-06",
"last_updated": "2024-07-06",
"certification_date": "2024-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MD",
"license": "LGP15275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stevensville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.