Individual provider Active NPI

Kathryn Deraffele, LCPAT

  • Professional Counselor
  • Baltimore, MD
National Provider Identifier
1336650241
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
ATC914 Issued in MD
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

Updated by the provider on Oct 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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

LicenseStateTypeSpecialty
ATC914MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kathryn H Deraffele Multi-Specialty CurrentSince Jun 15, 2025 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.

Verify at the official NPI Registry.