Active NPI
Kathryn Deraffele, LCPAT
- Professional Counselor
- Baltimore, MD
National Provider Identifier
1336650241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- ATC914
- Practice address
- 5820 York Rd Ste 201
Baltimore, MD 21212-3620 - Phone
- (410) 800-2169
- NPI assigned
- Oct 18, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | ATC914 | MD | Primary |
Addresses
Primary practice location
5820 York Rd Ste 201
Baltimore, MD 21212-3620
Mailing address
5820 York Rd Ste 201
Baltimore, MD 21212-3620
Phone (410) 800-2169
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ATC914 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kathryn H Deraffele | Multi-Specialty | Current | Accepting new patients |
Organizations & group practices 1
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": "1508284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508284800000",
"number": "1336650241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5820 YORK RD STE 201",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212123620",
"telephone_number": "410-800-2169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5820 YORK RD STE 201",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212123620",
"telephone_number": "410-800-2169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERAFFELE",
"first_name": "KATHRYN",
"credential": "LCPAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-18",
"last_updated": "2017-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "MD",
"license": "ATC914",
"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 Oct 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.