Individual provider Active NPI

Lauren Ilene Mirkin, MS, CNS, LDN LCPC

  • Nutritionist
  • Lutherville, MD
National Provider Identifier
1609085877
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
DX2974 Issued in MD
Practice address
2360 West Joppa Rd. Joppa Concourse, Suite 200
Johns Hopkins Integrative Medicine and Digestive Center
Lutherville, MD 21093
Phone
(443) 326-7023
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC5610 MD
Nutritionist 133N00000X DX2974 MD Primary

Addresses

Primary practice location

2360 West Joppa Rd. Joppa Concourse, Suite 200
Johns Hopkins Integrative Medicine and Digestive Center
Lutherville, MD 21093

Mailing address

2520 Willow Glen Drive
Baltimore, MD 21209
Phone (443) 326-7023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231214000071 MD Practitioner - Mental Health Counselor 7618326745 Practice locations: Baltimore, MD

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Johns Hopkins University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2520 Willow Glen Dr
Baltimore, MD 21209-3135
Phone (443) 326-7023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Master of Science

State licenses

LicenseStateTypeSpecialty
LC5610MDMDProfessional Counselor
DX2974MDMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Nov 18, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Holistic Counseling Help-LLC Professional PastSince Feb 11, 2024 Accepting new patients

Locations

2360 W Joppa Rd
Ste 200
Timonium, MD 21093
Phone (410) 828-3585

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1609085877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 WILLOW GLEN DRIVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21209",
            "telephone_number": "443-326-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 WEST JOPPA RD. JOPPA CONCOURSE, SUITE 200",
            "address_2": "JOHNS HOPKINS INTEGRATIVE MEDICINE AND DIGESTIVE CENTER",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "21093",
            "telephone_number": "443-326-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRKIN",
        "first_name": "LAUREN",
        "middle_name": "ILENE",
        "name_prefix": "Mrs.",
        "credential": "MS, CNS, LDN LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC5610",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MD",
            "license": "DX2974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

Verify at the official NPI Registry.