Individual provider Active NPI

Carolyn Harrison, LCPC

  • Professional Counselor
  • Prince Frederick, MD
National Provider Identifier
1225622103
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
11023 Issued in MD
Practice address
134 Main St Ste 103
Prince Frederick, MD 20678-6150
Phone
(301) 690-8404
NPI assigned
Feb 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 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 11023 MD Primary

Addresses

Primary practice location

134 Main St Ste 103
Prince Frederick, MD 20678-6150

Mailing address

PO Box 2514
Leonardtown, MD 20650-8514
Phone (301) 690-8404

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
I20240824000096 MD Practitioner - Mental Health Counselor 7214476019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hope and Healing Psychotherapy LLCGroup PAC ID 9638515315, 8 clinicians

Practice addresses (Care Compare)

23140 Moakley St
Suite 6
Leonardtown, MD 20650-2931
Phone (301) 690-8404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11023MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hope and Healing Psychotherapy, LLC CurrentSince Aug 12, 2024 Accepting new patients
Center for Children Inc. PastSince Mar 1, 2021 Accepting new patients

Locations

23140 Moakley St
Ste 6
Leonardtown, MD 20650
Phone (301) 481-8088

134 Main St
Ste 103
Prince Frederick, MD 20678
Phone (301) 690-8404

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1225622103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2514",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206508514",
            "telephone_number": "301-690-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 MAIN ST STE 103",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206786150",
            "telephone_number": "301-690-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "CAROLYN",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "11023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

Verify at the official NPI Registry.