Kristen Lewis, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LGP10647 Issued in MD

Practice address

3301 Belair Rd Ste 2
Baltimore, MD 21213-1257

Phone

(443) 873-7193

NPI assigned

Jan 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

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.

• Divine Counseling LLC

  • Clinical Social Worker
  • Owings Mills, MD
  • NPI 1184291155
  Medicare reassignment NPD
• Divine Counseling LLC

  • Community/Behavioral Health Agency
  • Owings Mills, MD
  • NPI 1407537186
  NPD

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1316537467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 BELAIR RD STE 2",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212131257",
            "telephone_number": "443-873-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 BELAIR RD STE 2",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212131257",
            "telephone_number": "443-873-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KRISTEN",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-22",
        "last_updated": "2023-07-17",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP10647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MARYLAND LICENSE",
            "identifier": "LGP10647",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph M Lewis Jr.
• Jovon Lewis, PHARMD
• Justine Lewis, MD
• Katherine Margaret Lewis, DO
• Kelsey Nicole Lewis, DDS
• Kymberly E'Lon Lewis
• Laura Nicole Lewis, CRNP
• Lauren Alexis Lewis, D.D.S.
• Lynsie Lewis
• Madison Lewis

• 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 Jul 17, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.