Individual provider Active NPI

Karl Marmaduke, LCPC

  • Professional Counselor
  • Catonsville, MD
National Provider Identifier
1437564572
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC8319 Issued in MD
Practice address
500 N Rolling Rd
Catonsville, MD 21228-4134
Phone
(410) 788-0300
Fax
(410) 869-7244
NPI assigned
Jun 27, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 LC8319 MD Primary

Addresses

Primary practice location

500 N Rolling Rd
Catonsville, MD 21228-4134

Mailing address

500 N Rolling Rd
Catonsville, MD 21228-4134
Phone (410) 788-0300

Other practice location 1

1509 16th St NW
Washington, DC 20036-1461
Phone (202) 289-1510

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

State licenses

LicenseStateTypeSpecialty
LC8319MDMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1437564572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N ROLLING RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284134",
            "telephone_number": "410-788-0300",
            "fax_number": "410-869-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N ROLLING RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284134",
            "telephone_number": "410-788-0300",
            "fax_number": "410-869-7244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1509 16th St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200361461",
            "country_code": "US",
            "telephone_number": "202-289-1510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARMADUKE",
        "first_name": "KARL",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC8319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.