Individual provider Active NPI

Krista Beth Hoffman, M.S. L.C.P.C.

  • Mental Health Counselor
  • Marriottsville, MD
National Provider Identifier
1346347994
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC1326 Issued in MD
Practice address
11424 Reisberg LN
Marriottsville, MD 21104-1202
Phone
(410) 370-8907
NPI assigned
Sep 17, 2006
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20240812001305 MD Practitioner - Mental Health Counselor 5193263978 Practice locations: Marriottsville, MD

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Jehovah-Jireh Counseling Services, LLC Mental Health Current Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC1326 MD Primary

Addresses

NPPES NPI Registry

Primary practice location

11424 Reisberg LN
Marriottsville, MD 21104-1202

Mailing address

11424 Reisberg LN
Marriottsville, MD 21104-1202
Phone (410) 370-8907

Other practice location 1

6833 Carlinda Ave
Columbia, MD 21046-1108
Phone (410) 370-1119

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 20, 2024.

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1346347994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11424 REISBERG LN",
            "city": "MARRIOTTSVILLE",
            "state": "MD",
            "postal_code": "211041202",
            "telephone_number": "410-370-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11424 REISBERG LN",
            "city": "MARRIOTTSVILLE",
            "state": "MD",
            "postal_code": "211041202",
            "telephone_number": "410-370-8907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6833 Carlinda Ave",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210461108",
            "country_code": "US",
            "telephone_number": "410-370-1119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "KRISTA",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "M.S. L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC1326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marriottsville, MD

Sources for this page

Verify at the official NPI Registry.