Lachrisia Lorraine Matthews, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC4547 Issued in MD

Practice address

10711 Red Run Blvd Ste 112
Owings Mills, MD 21117-5138

Phone

(202) 250-4393

NPI assigned

Jul 25, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Her Mind Her Body Clinical Associates

  • Community Health Worker
  • Baltimore, MD
  • NPI 1104251347
  NPD Authorized official
• Her Mind Her Body Clinical Associates

  • Community/Behavioral Health Agency
  • Windsor Mill, MD
  • NPI 1861867178
  NPD
• Her Mind Her Body Wellness Program

  • Community/Behavioral Health Agency
  • Windsor Mill, MD
  • NPI 1508297292
  NPD

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1578819785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 BRIDLE RIDGE RD",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207728095",
            "telephone_number": "202-250-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10711 RED RUN BLVD STE 112",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175138",
            "telephone_number": "202-250-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "LACHRISIA",
        "middle_name": "LORRAINE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-25",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC4547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Yolanda Mason, LCADC
• Brenda Massicott, LCSW
• Masterlife With Stacey Coaching & Consulting LLC
• Tiffany Tutman Mathis, LMSW
• Matrix Rehabilitation Maryland, Inc.
• Malerie Matthews
• Memory Maunde, NP
• Maximum Day Services II, LLC
• Maximum Day Services, LLC
• Maximum Potential Inc

• Mental Health Counselor in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.