Active NPI
Kimberly Allysha Barrett, LGPC
- Mental Health Counselor
- Millersville, MD
National Provider Identifier
1407488588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1114 Benfield Blvd Ste G
Millersville, MD 21108-2589 - Phone
- (410) 780-4320
- NPI assigned
- Feb 6, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | MD | ||
| Mental Health Counselor | 101YM0800X | MD | Primary |
Addresses
Primary practice location
1114 Benfield Blvd Ste G
Millersville, MD 21108-2589
Mailing address
6029 Bauman Dr
Elkridge, MD 21075-5501
Phone (240) 670-6445
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580947200000",
"number": "1407488588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6029 BAUMAN DR",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210755501",
"telephone_number": "240-670-6445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1114 BENFIELD BLVD STE G",
"city": "MILLERSVILLE",
"state": "MD",
"postal_code": "211082589",
"telephone_number": "410-780-4320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRETT",
"first_name": "KIMBERLY",
"middle_name": "ALLYSHA",
"credential": "LGPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-06",
"last_updated": "2020-02-06",
"certification_date": "2020-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MD",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Millersville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.