Active NPI
Katrina Moore, LCPC
- Professional Counselor
- Severna Park, MD
National Provider Identifier
1366160244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC15938
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC15938 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pure Peace Counseling LLC | Current | Accepting new patients | |
| Bay Area Counseling & Consultation, LLC | Current | Accepting new patients | |
| Advanced Behavioral Health Solutions - LLC | Past | 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.
-
- Clinical Social Worker
- Severna Park, MD
- NPI 1588207955
-
- Mental Health Counselor
- Charlotte, NC
- NPI 1831065762
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Glen Burnie, MD
- NPI 1154993350
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.