Active NPI
Kimberly S Flyr, M.ED, LCPC
- Professional Counselor
- Ellicott City, MD
National Provider Identifier
1427448844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC4563
- Practice address
- 5026 Dorsey Hall Dr Ste 205
Martin Counseling and Associates
Ellicott City, MD 21042-7854 - Phone
- (240) 356-3528
- NPI assigned
- Jan 24, 2015
- Last updated
- Sep 1, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | LC4563 | MD | Primary |
Addresses
Primary practice location
5026 Dorsey Hall Dr Ste 205
Martin Counseling and Associates
Ellicott City, MD 21042-7854
Mailing address
13378 Grinstead CT
Sykesville, MD 21784-5614
Phone (410) 961-9284
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC4563 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472688000000",
"number": "1427448844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13378 GRINSTEAD CT",
"city": "SYKESVILLE",
"state": "MD",
"postal_code": "217845614",
"telephone_number": "410-961-9284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5026 DORSEY HALL DR STE 205",
"address_2": "MARTIN COUNSELING AND ASSOCIATES",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210427854",
"telephone_number": "240-356-3528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYR",
"first_name": "KIMBERLY",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "M.ED, LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-24",
"last_updated": "2016-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC4563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellicott City, MD
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.