Active NPI
Elaine Margaret Bain, PH.D. LC PC
- Professional Counselor
- Ellicott City, MD
National Provider Identifier
1215927306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC1081
- Practice address
- 3570 Saint Johns LN Ste 207
Ellicott City, MD 21042-4046 - Phone
- (410) 719-0086
- Fax
- (443) 251-2664
- NPI assigned
- Oct 28, 2005
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC1081 | MD | Primary |
Addresses
Primary practice location
3570 Saint Johns LN Ste 207
Ellicott City, MD 21042-4046
Mailing address
3570 Saint Johns LN Ste 207
Ellicott City, MD 21042-4046
Phone (410) 719-0086
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| QR62SU | Other | MD | CAREFIRST MD |
| R0390002 | Other | MD | CAREFIRST FEDERAL |
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 |
|---|---|---|---|
| LC1081 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suburban Pastoral Counseling Clinic Inc | Professional | Past | Accepting new patients |
| Psychiatry Specialities Clinics, LLC | Professional | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 2
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.
-
- Addiction Psychiatry Physician
- Ellicott City, MD
- NPI 1851864037
Professional
-
- Mental Health Counselor
- Catonsville, MD
- NPI 1588654701
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552089600000",
"number": "1215927306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3570 SAINT JOHNS LN STE 207",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210424046",
"telephone_number": "410-719-0086",
"fax_number": "443-251-2664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3570 SAINT JOHNS LN STE 207",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210424046",
"telephone_number": "410-719-0086",
"fax_number": "443-251-2664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAIN",
"first_name": "ELAINE",
"middle_name": "MARGARET",
"name_prefix": "Ms.",
"credential": "PH.D. LC PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-28",
"last_updated": "2019-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC1081",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MD",
"identifier": "QR62SU",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST FEDERAL",
"identifier": "R0390002",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.