Active NPI
Kimberly Monique Jones, LCPC
- Professional Counselor
- Randallstown, MD
National Provider Identifier
1235996331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC17622
- Practice address
- 9026 Liberty Rd Ste 102
Randallstown, MD 21133-3900 - Phone
- (443) 352-7077
- Fax
- (443) 214-2999
- NPI assigned
- Mar 5, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LGA3361 | MD | |
| Professional Counselor | 101YP2500X | PC019263 | PA | |
| Professional Counselor | 101YP2500X | PC-0012003 | DE | |
| Professional Counselor | 101YP2500X | LC17622 | MD | Primary |
Addresses
Primary practice location
9026 Liberty Rd Ste 102
Randallstown, MD 21133-3900
Mailing address
7722 Altland Ave
Abbottstown, PA 17301-8978
Phone (443) 677-5720
Other practice location 1
18 Montgomery Dr Ste 10
North East, MD 21901-3817
Phone (443) 352-7077
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
18 Montgomery Dr
Suite 10
North East, MD 21901-3817
9026 Liberty Rd
Suite 102
Randallstown, MD 21133-3900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGA3361 | MD | MD | Addiction (Substance Use Disorder) Counselor |
| PC-0012003 | DE | MD | Professional Counselor |
| LC17622 | MD | MD | Professional Counselor |
| PC019263 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nurturing Minds Health and Wellness LLC | Mental Health | Past | Accepting new patients |
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.
-
- Professional Counselor
- North East, MD
- NPI 1437917663
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776384000000",
"number": "1235996331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7722 ALTLAND AVE",
"city": "ABBOTTSTOWN",
"state": "PA",
"postal_code": "173018978",
"telephone_number": "443-677-5720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9026 LIBERTY RD STE 102",
"city": "RANDALLSTOWN",
"state": "MD",
"postal_code": "211333900",
"telephone_number": "443-352-7077",
"fax_number": "443-214-2999"
}
],
"practiceLocations": [
{
"address_1": "18 Montgomery Dr Ste 10",
"address_purpose": "LOCATION",
"city": "North East",
"state": "MD",
"postal_code": "219013817",
"country_code": "US",
"telephone_number": "443-352-7077",
"fax_number": "443-214-2199",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "KIMBERLY",
"middle_name": "MONIQUE",
"name_prefix": "Mrs.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-05",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MD",
"license": "LGA3361",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC019263",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "DE",
"license": "PC-0012003",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC17622",
"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 Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.