Individual provider Active NPI

Janet Glover-Kerkvliet, LCPC

  • Professional Counselor
  • Baltimore, MD
National Provider Identifier
1619107000
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1055 Taylor Ave
The Stone Foundation
Baltimore, MD 21286-8317
Phone
(410) 296-2004
NPI assigned
Jul 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

1055 Taylor Ave
The Stone Foundation
Baltimore, MD 21286-8317

Mailing address

9475 Deereco Road, #206
Kerkvliet Counseling Services
Timonium, MD 21093
Phone (410) 627-2372

Other identifiers 1

IdentifierTypeStateIssuer
LC4447OtherMDMARYLAND BOARD OF PROFESSIONAL COUNSELORS AND THERAPISTS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399334400000",
    "number": "1619107000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9475 DEERECO ROAD, #206",
            "address_2": "KERKVLIET COUNSELING SERVICES",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "21093",
            "telephone_number": "410-627-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 TAYLOR AVE",
            "address_2": "THE STONE FOUNDATION",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212868317",
            "telephone_number": "410-296-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER-KERKVLIET",
        "first_name": "JANET",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2014-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND BOARD OF PROFESSIONAL COUNSELORS AND THERAPISTS",
            "identifier": "LC4447",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.