Individual provider Active NPI

Ayzha Gabrielle Corbett, LCPC

  • Mental Health Counselor
  • Towson, MD
National Provider Identifier
1225606221
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC11713 Issued in MD
Practice address
40 W Chesapeake Ave Ste 518
Towson, MD 21204-4892
Phone
(667) 320-2173
NPI assigned
Jun 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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 LC11713 MD Primary

Addresses

Primary practice location

40 W Chesapeake Ave Ste 518
Towson, MD 21204-4892

Mailing address

40 W Chesapeake Ave Ste 518
Towson, MD 21204-4892
Phone (667) 320-2173

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
LC11713MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Centered Collective LLC Mental Health CurrentSince Oct 15, 2023 Accepting new patients

Locations

40 W Chesapeake Ave
Ste 518
Towson, MD 21204
Phone (410) 961-3499

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": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1225606221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W CHESAPEAKE AVE STE 518",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044892",
            "telephone_number": "667-320-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W CHESAPEAKE AVE STE 518",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044892",
            "telephone_number": "667-320-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBETT",
        "first_name": "AYZHA",
        "middle_name": "GABRIELLE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC11713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; 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.