Active NPI
Germaine Ajavon, LCPC
- Mental Health Counselor
- Catonsville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 632 Frederick Rd # 200
Catonsville, MD 21228-4696 - Phone
- (443) 892-0553
- Fax
- (443) 498-9697
- NPI assigned
- May 10, 2016
- Last updated
- Dec 20, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary | |
| Professional Counselor | 101YP2500X | LC8469 | MD |
Addresses
Primary practice location
632 Frederick Rd # 200
Catonsville, MD 21228-4696
Mailing address
632 Frederick Rd # 200
Catonsville, MD 21228-4696
Phone (443) 892-0553
Other practice location 1
9 Gwynns Mill Ct Ste D
Owings Mills, MD 21117-3527
Phone (410) 356-5330
Other practice location 2
11299 Owings Mills Blvd Ste 204
Owings Mills, MD 21117-2903
Phone (410) 581-9150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 225094200 | Medicaid | MD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
632 Frederick Rd
Suite 200
Catonsville, MD 21228-4696
Phone (443) 892-0553
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC8469 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holistic Psychohealth Services LLC | Professional | Current | Accepting new patients |
Locations
632 Frederick Rd
Ste 200
Catonsville, MD 21228
Phone (443) 413-9874
11299 Owings Mills Blvd
Ste 204
Owings Mills, MD 21117
Phone (410) 581-3030
9 Gwynns Mill Ct
Ste D
Owings Mills, MD 21117
Phone (410) 834-0246
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Gigi Ajavon
- Professional Counselor
- Catonsville, MD
- NPI 1659900488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639958400000",
"number": "1619323573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "632 FREDERICK RD # 200",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212284696",
"telephone_number": "443-892-0553",
"fax_number": "443-498-9697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "632 FREDERICK RD # 200",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212284696",
"telephone_number": "443-892-0553",
"fax_number": "443-498-9697"
}
],
"practiceLocations": [
{
"address_1": "9 Gwynns Mill Ct Ste D",
"address_purpose": "LOCATION",
"city": "Owings Mills",
"state": "MD",
"postal_code": "211173527",
"country_code": "US",
"telephone_number": "410-356-5330",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11299 Owings Mills Blvd Ste 204",
"address_purpose": "LOCATION",
"city": "Owings Mills",
"state": "MD",
"postal_code": "211172903",
"country_code": "US",
"telephone_number": "410-581-9150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AJAVON",
"first_name": "GERMAINE",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-10",
"last_updated": "2021-12-20",
"certification_date": "2021-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC8469",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "225094200",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Catonsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.