Individual provider Active NPI

Rebecca Guy, LCPC

  • Mental Health Counselor
  • Ellicott City, MD
National Provider Identifier
1295351732
Registry record updated Jan 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC13340 Issued in MD
Practice address
3545 Ellicott Mills Dr Ste 302
Ellicott City, MD 21043-4517
Phone
(410) 656-1296
NPI assigned
Jun 21, 2020
Last updated
Jan 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC13340 MD Primary

Addresses

Primary practice location

3545 Ellicott Mills Dr Ste 302
Ellicott City, MD 21043-4517

Mailing address

2815 Country LN
Ellicott City, MD 21042-2566
Phone (804) 839-4625

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
LC13340MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kaleidoscope Kids Counseling, LLC Mental Health CurrentSince Jan 28, 2024 Accepting new patients
Milestones Counseling and Consulting Services PastSince Jun 1, 2020 Accepting new patients

Locations

3545 Ellicott Mills Dr
Ste 302
Ellicott City, MD 21043
Phone (410) 656-1296

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1592697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705795200000",
    "number": "1295351732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 COUNTRY LN",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422566",
            "telephone_number": "804-839-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 ELLICOTT MILLS DR STE 302",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434517",
            "telephone_number": "410-656-1296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUY",
        "first_name": "REBECCA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-21",
        "last_updated": "2024-01-21",
        "certification_date": "2024-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC13340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2024; 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.