Active NPI
Roshun J Harris LCPC & Associates LLC
- Professional Counselor
- Pikesville, MD
National Provider Identifier
1578995593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC3404
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| X9940001 | Other | MD | CAREFIRST BCBS |
| 3217788 | Other | MD | CIGNA |
| 030347000 | Medicaid | MD |
National Provider Directory
National Provider DirectoryLocations
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.