Laurajean Councill, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

00971 Issued in MD

Practice address

3021 Mountain Rd Ste a
Pasadena, MD 21122-2015

Phone

(410) 437-9366

Fax

(410) 437-8107

NPI assigned

Feb 20, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1487799490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 MOUNTAIN RD STE A",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211222015",
            "telephone_number": "410-437-9366",
            "fax_number": "410-437-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 MOUNTAIN RD STE A",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211222015",
            "telephone_number": "410-437-9366",
            "fax_number": "410-437-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUNCILL",
        "first_name": "LAURAJEAN",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "08828",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "00971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "KBQ4CO",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "W219-0001",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD FEP",
            "identifier": "W219-0001",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43428-8700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Collins
• Communication Connections Inc
• Danielle Elisa Cook
• Courtney Lynn Cooley, PT
• Councill & Brice
• Christine Ann Coursey, RN
• Amy J. Cowart, D.O.
• Allison Cowell
• Janelle Cox, LCPC, NCC
• Jessie Ann Crabtree, LCPC

• Podiatrist in Pasadena, MD
• Providers in Pasadena, MD by specialty
• Podiatrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.