Carole Robinson Douglas, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC9204 Issued in MD

Practice address

300 E Lombard St Ste 840
Baltimore, MD 21202-3231

Phone

(410) 554-5515

NPI assigned

Apr 13, 2007

Sex

Female

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

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Supportive Care of Maryland LLCGroup PAC ID 9234460999, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Supportive Care of Maryland LLC

  • Psychologist
  • Riverdale, MD
  • NPI 1447802616

  DC

  Medicare reassignment Care Compare group NPD
• MD Matt LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Owings Mills, MD
  • NPI 1669941175
  Medicare reassignment NPD
• MD Matt LLC

  • Adult Health Nurse Practitioner
  • Hagerstown, MD
  • NPI 1508636762
  NPD

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1295950640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7521 ROCKRIDGE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212085733",
            "telephone_number": "410-486-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E LOMBARD ST STE 840",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023231",
            "telephone_number": "410-554-5515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3102 N Hilton St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212161450",
            "country_code": "US",
            "telephone_number": "410-578-0730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 W Pratt St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212016502",
            "country_code": "US",
            "telephone_number": "410-814-7684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "CAROLE",
        "middle_name": "ROBINSON",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC9204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doughty Podiatry, P.a.
• Mackenzie Doughty
• Douglas B Woodruff MD PA
• Douglas C Miller D C P a
• Briana Grace Douglas, LGPC
• Courtney Douglas, PSYD
• Donald Edward Douglas, P.T.
• Jalyn Douglas
• Jo-Ann Douglas
• Juanice L Douglas

• Mental Health Counselor in Baltimore, MD
• Providers in Baltimore, 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 Nov 19, 2024; 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.

Verify at the official NPI Registry.