Active NPI
Caitlin Cordial, LCPC
- Professional Counselor
- Hanover, MD
National Provider Identifier
1487248654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC13708
- Practice address
- 7412 Windstream Cir Apt 201
Hanover, MD 21076-5062 - Phone
- (410) 513-4854
- NPI assigned
- Feb 26, 2021
- Last updated
- Nov 19, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC13708 | MD | Primary |
Addresses
Primary practice location
7412 Windstream Cir Apt 201
Hanover, MD 21076-5062
Mailing address
7412 Windstream Cir Apt 201
Hanover, MD 21076-5062
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 12, 2024 through Mar 12, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC13708 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1487248654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7412 WINDSTREAM CIR APT 201",
"city": "HANOVER",
"state": "MD",
"postal_code": "210765062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7412 WINDSTREAM CIR APT 201",
"city": "HANOVER",
"state": "MD",
"postal_code": "210765062",
"telephone_number": "410-513-4854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDIAL",
"first_name": "CAITLIN",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-26",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC13708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hanover, 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 Nov 19, 2024; 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.