Individual provider Active NPI

Clair Grace Louise Minson, LCPC

  • Counselor
  • Baltimore, MD
National Provider Identifier
1295220747
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LC7170 Issued in MD
Practice address
5406 Fairlawn Ave
Baltimore, MD 21215-4310
Phone
(202) 834-9135
NPI assigned
Jun 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LC7170 MD Primary

Addresses

Primary practice location

5406 Fairlawn Ave
Baltimore, MD 21215-4310

Mailing address

5406 Fairlawn Ave
Baltimore, MD 21215-4310
Phone (202) 834-9135

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
LC7170MDMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1295220747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5406 FAIRLAWN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212154310",
            "telephone_number": "202-834-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5406 FAIRLAWN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212154310",
            "telephone_number": "202-834-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINSON",
        "first_name": "CLAIR",
        "middle_name": "GRACE LOUISE",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LC7170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.