Erick Cameron Ketcham, MSW-S

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

133 Willow Bend Dr Apt 4D
Owings Mills, MD 21117-2697

Phone

(443) 870-0444

NPI assigned

Jul 10, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1265110274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 WILLOW BEND DR APT 4D",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211172697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 WILLOW BEND DR APT 4D",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211172697",
            "telephone_number": "443-870-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETCHAM",
        "first_name": "ERICK",
        "middle_name": "CAMERON",
        "credential": "MSW-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Joy Kelley
• Frankline Alang Kenah III
• Janis Margaret Kenny, M.D.
• Rebecca Kepner, LCSW-C
• Gregory D Kersh, D.C.
• James Key
• Hafsa Rahman Khan, LGPC, NCC
• Rao Ali Hashim Khan, MD
• Shafia Khawaja
• Menucha Khoshkherman

• Mental Health Counselor in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.