Individual provider Active NPI

Laurel Ann Freeman, LCPC, NCC, CT

  • Counselor
  • Hunt Valley, MD
National Provider Identifier
1255694634
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LC3783 Issued in MD
Practice address
11311 McCormick Rd
Suite 350
Hunt Valley, MD 21031-1004
Phone
(443) 849-8200
NPI assigned
Jun 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LC3783 MD Primary

Addresses

Primary practice location

11311 McCormick Rd
Suite 350
Hunt Valley, MD 21031-1004

Mailing address

11311 McCormick Rd
Suite 350
Hunt Valley, MD 21031-1004
Phone (443) 849-8258

Other names 1

  • Ms. Laurel Ann Goodrick Former name

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
LC3783MDMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1255694634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11311 MCCORMICK RD",
            "address_2": "SUITE 350",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311004",
            "telephone_number": "443-849-8258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11311 MCCORMICK RD",
            "address_2": "SUITE 350",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311004",
            "telephone_number": "443-849-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "LAUREL",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCPC, NCC, CT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LC3783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREL",
            "last_name": "GOODRICK",
            "middle_name": "ANN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hunt Valley, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; 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.