Individual provider Active NPI

Katrina Moore, LCPC

  • Professional Counselor
  • Severna Park, MD
National Provider Identifier
1366160244
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC15938 Issued in MD
Practice address
601 Baltimore Annapolis Blvd Ste 206
Severna Park, MD 21146-3914
Phone
(410) 553-4450
NPI assigned
Aug 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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 LC15938 MD Primary

Addresses

Primary practice location

601 Baltimore Annapolis Blvd Ste 206
Severna Park, MD 21146-3914

Mailing address

601 Baltimore Annapolis Blvd Ste 206
Severna Park, MD 21146-3914
Phone (410) 553-4450

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@bayareacounseling.consulting

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250515000078 MD Practitioner - Mental Health Counselor 7012435944 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC15938MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Peace Counseling LLC Current Accepting new patients
Bay Area Counseling & Consultation, LLC CurrentSince Apr 1, 2025 Accepting new patients
Advanced Behavioral Health Solutions - LLC PastSince Dec 8, 2024 Accepting new patients

Locations

601 Baltimore Annapolis Blvd
Ste 206
Severna Park, MD 21146
Phone (410) 553-4450

Organizations & group practices 3

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": "1660694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1366160244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 BALTIMORE ANNAPOLIS BLVD STE 206",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463914",
            "telephone_number": "410-553-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BALTIMORE ANNAPOLIS BLVD STE 206",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463914",
            "telephone_number": "410-553-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KATRINA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-17",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC15938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@bayareacounseling.consulting",
            "affiliation": "N",
            "address_1": "601 Baltimore Annapolis Blvd Ste 206",
            "city": "Severna Park",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211463914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

Verify at the official NPI Registry.