Stardust Counseling Inc

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

STARDUST COUNSELING INC

Practice address

122 Old Church Dr
Joppa, MD 21085-4522

Phone

(410) 215-2589

NPI assigned

Apr 24, 2022

Last updated

Apr 24, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael R Saferin-Reed, M.S. NCC LCPCNPI 1790204774

Title

Director/LCPC

Phone

(410) 215-2589

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Saferin-Reed

  • Mental Health Counselor
  • Baltimore, MD
  • NPI 1790204774
  NPD Authorized official

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

{
    "created_epoch": "1650758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650758400000",
    "number": "1598409799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 OLD CHURCH DR",
            "city": "JOPPA",
            "state": "MD",
            "postal_code": "210854522",
            "telephone_number": "410-215-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 OLD CHURCH DR",
            "city": "JOPPA",
            "state": "MD",
            "postal_code": "210854522",
            "telephone_number": "410-215-2589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARDUST COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-24",
        "last_updated": "2022-04-24",
        "certification_date": "2022-04-24",
        "status": "A",
        "authorized_official_last_name": "SAFERIN-REED",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR/LCPC",
        "authorized_official_telephone_number": "410-215-2589",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S. NCC LCPC"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yelana Slavov, MS CCC SLP
• Amanda Smithmyer, LMSW
• Jarek Sparaco, LGPAT
• Dwayne Speaks, LCSW-C
• Cynthia Sprague, LCPC
• Christopher Thomas Steel
• Stephanie Linder, M.D., LLC
• Joice Ann Stokes-James, RN
• Stotler Chiropractic PA
• Michael V Stotler, D.C

• Counseling Psychologist in Joppa, MD
• Providers in Joppa, MD by specialty
• Counseling Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.