Individual provider Active NPI

Tamika Roland, LCPC

  • Professional Counselor
  • Baltimore, MD
National Provider Identifier
1336215375
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
000495 Issued in MD
Practice address
122 Weber St
Baltimore, MD 21230-4106
Phone
(410) 752-5525
Fax
(410) 752-5531
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 000495 MD Primary

Addresses

Primary practice location

122 Weber St
Baltimore, MD 21230-4106

Mailing address

1329 E Northern Pkwy
Baltimore, MD 21239-1920
Phone (443) 668-7840

Other identifiers 3

IdentifierTypeStateIssuer
64758501OtherMDBCBS MD. RENDERING PRV #
KC29UNOtherMDCAREFIRST PROV #
T5140018OtherMDREGIONAL BLUE CHOIC PRV #

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
000495MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Expresscare LLC Past Accepting new patients
Universal Counseling Services, Inc. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1336215375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 E NORTHERN PKWY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212391920",
            "telephone_number": "443-668-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 WEBER ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212304106",
            "telephone_number": "410-752-5525",
            "fax_number": "410-752-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLAND",
        "first_name": "TAMIKA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "000495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MD. RENDERING PRV #",
            "identifier": "64758501",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST PROV #",
            "identifier": "KC29UN",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGIONAL BLUE CHOIC PRV #",
            "identifier": "T5140018",
            "state": "MD"
        }
    ],
    "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 Jul 9, 2007; 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.