Active NPI
Tina Cornish Laury, LCPC
- Professional Counselor
- Waldorf, MD
National Provider Identifier
1447950381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC16578
- Practice address
- 2670 Crain Hwy Ste 205
Waldorf, MD 20601-2816 - Phone
- (301) 818-0092
- NPI assigned
- Mar 8, 2023
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC16578 | MD | Primary |
| Mental Health Counselor | 101YM0800X | LGP12397 | MD |
Addresses
Primary practice location
2670 Crain Hwy Ste 205
Waldorf, MD 20601-2816
Mailing address
2670 Crain Hwy Ste 205
Waldorf, MD 20601-2816
Phone (301) 818-0092
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
| License | State | Type | Specialty |
|---|---|---|---|
| LGP12397 | MD | MD | Mental Health Counselor |
| LC16578 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751932800000",
"number": "1447950381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2670 CRAIN HWY STE 205",
"city": "WALDORF",
"state": "MD",
"postal_code": "206012816",
"telephone_number": "301-818-0092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2670 CRAIN HWY STE 205",
"city": "WALDORF",
"state": "MD",
"postal_code": "206012816",
"telephone_number": "301-818-0092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAURY",
"first_name": "TINA",
"middle_name": "CORNISH",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-08",
"last_updated": "2025-07-08",
"certification_date": "2025-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC16578",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LGP12397",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.