Organization Active NPI

Roshun J Harris LCPC & Associates LLC

  • Professional Counselor
  • Pikesville, MD
National Provider Identifier
1578995593
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC3404 Issued in MD
Legal business name
ROSHUN J HARRIS LCPC & ASSOCIATES LLC
Practice address
17 Warren Rd
Suite 25a
Pikesville, MD 21208-5334
Phone
(410) 903-3178
Fax
(410) 510-1001
NPI assigned
Aug 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Authorized official

Name
Roshun J Harris, LCPC NCC
Title
Owner/ Provider
Phone
(410) 903-3178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LC3404 MD Primary

Addresses

Primary practice location

17 Warren Rd
Suite 25a
Pikesville, MD 21208-5334

Mailing address

2505 Lord Baltimore Dr
A-102
Windsor Mill, MD 21244-2673
Phone (410) 903-3178

Other identifiers 3

IdentifierTypeStateIssuer
X9940001OtherMDCAREFIRST BCBS
3217788OtherMDCIGNA
030347000MedicaidMD

National Provider Directory

National Provider Directory

Locations

17 Warren Rd
Ste 25A
Pikesville, MD 21208
Phone (410) 258-6714

2505 Lord Baltimore Dr
#A102
Windsor Mill, MD 21244

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1578995593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 LORD BALTIMORE DR",
            "address_2": "A-102",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442673",
            "telephone_number": "410-903-3178",
            "fax_number": "410-510-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WARREN RD",
            "address_2": "SUITE 25A",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212085334",
            "telephone_number": "410-903-3178",
            "fax_number": "410-510-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSHUN J HARRIS LCPC & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-01",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ROSHUN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/ PROVIDER",
        "authorized_official_telephone_number": "410-903-3178",
        "authorized_official_credential": "LCPC NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC3404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "X9940001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3217788",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030347000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.