Active NPI
Jan Taylor, LCPC
- Pastoral Counselor
- Catonsville, MD
National Provider Identifier
1487922308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- License
- LC4155
- Practice address
- 5710 Executive Dr
Suite # 105
Catonsville, MD 21228-1759 - Phone
- (410) 744-8422
- Fax
- (410) 744-8424
- NPI assigned
- Dec 6, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | LC4155 | MD | Primary |
Addresses
Primary practice location
5710 Executive Dr
Suite # 105
Catonsville, MD 21228-1759
Mailing address
5710 Executive Dr
Suite # 105
Catonsville, MD 21228-1759
Phone (410) 744-8422
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 |
|---|---|---|---|
| LC4155 | MD | MD | Pastoral Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merge LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Catonsville, MD
- NPI 1255531406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323129600000",
"number": "1487922308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5710 EXECUTIVE DR",
"address_2": "SUITE # 105",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212281759",
"telephone_number": "410-744-8422",
"fax_number": "410-744-8424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5710 EXECUTIVE DR",
"address_2": "SUITE # 105",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212281759",
"telephone_number": "410-744-8422",
"fax_number": "410-744-8424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "JAN",
"name_prefix": "Ms.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-06",
"last_updated": "2011-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "MD",
"license": "LC4155",
"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 Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.