Individual provider Active NPI

Kelly Monique Turner Woolford, LCPC

  • Mental Health Counselor
  • Randallstown, MD
National Provider Identifier
1225339302
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCP4332 Issued in MD
Practice address
5310 Old Court Rd Ste 204
Randallstown, MD 21133-6201
Phone
(410) 977-5100
NPI assigned
Nov 5, 2010
Last updated
Jun 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCP4332 MD Primary

Addresses

Primary practice location

5310 Old Court Rd Ste 204
Randallstown, MD 21133-6201

Mailing address

4104 Kiwi CT
Randallstown, MD 21133-4076
Phone (410) 977-5100

Other practice location 1

901 N Milton Ave
Ste 260
Baltimore, MD 21205-1316
Phone (443) 963-1343

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
LCP4332MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Therapeutics, LLC Mental Health CurrentSince Jun 25, 2023 Accepting new patients

Locations

5310 Old Court Rd
Ste 204
Randallstown, MD 21133
Phone (410) 521-1133

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": "1288915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1225339302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 KIWI CT",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334076",
            "telephone_number": "410-977-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 OLD COURT RD STE 204",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211336201",
            "telephone_number": "410-977-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 N Milton Ave",
            "address_2": "Ste 260",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212051316",
            "country_code": "US",
            "telephone_number": "443-963-1343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TURNER WOOLFORD",
        "first_name": "KELLY",
        "middle_name": "MONIQUE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-05",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LCP4332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randallstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.