Active NPI
Taylor Hollingsworth, LGPC, LGPAT
- Counselor
- Baltimore, MD
National Provider Identifier
1467090233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LC11703
- Practice address
- 4800 Roland Ave Ste 301
Baltimore, MD 21210-2347 - Phone
- (410) 324-6809
- NPI assigned
- Dec 12, 2019
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LGP9672 | MD | |
| Art Therapist | 221700000X | ATG232 | MD | |
| Art Therapist | 221700000X | ATC300 | MD | |
| Counselor | 101Y00000X | LC11703 | MD | Primary |
Addresses
Primary practice location
4800 Roland Ave Ste 301
Baltimore, MD 21210-2347
Mailing address
7474 Greenway Center Dr Ste 700B
Greenbelt, MD 20770-3523
Phone (240) 304-3327
Other practice location 1
17904 Georgia Ave Ste 200
Olney, MD 20832-2277
Phone (240) 304-3327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 4, 2024 through Apr 4, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC11703 | MD | MD | Counselor |
| LGP9672 | MD | MD | Professional Counselor |
| ATC300 | MD | MD | Art Therapist |
| ATG232 | MD | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649116800000",
"number": "1467090233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7474 GREENWAY CENTER DR STE 700B",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207703523",
"telephone_number": "240-304-3327",
"fax_number": "240-513-4155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 ROLAND AVE STE 301",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212102347",
"telephone_number": "410-324-6809"
}
],
"practiceLocations": [
{
"address_1": "17904 Georgia Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Olney",
"state": "MD",
"postal_code": "208322277",
"country_code": "US",
"telephone_number": "240-304-3327",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLLINGSWORTH",
"first_name": "TAYLOR",
"credential": "LGPC, LGPAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-12",
"last_updated": "2022-04-05",
"certification_date": "2022-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LGP9672",
"primary": false
},
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "MD",
"license": "ATG232",
"primary": false
},
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "MD",
"license": "ATC300",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MD",
"license": "LC11703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.