Active NPI
Kathleen Veronica Mikszan, LCPC
- Professional Counselor
- Rockville, MD
National Provider Identifier
1619990066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC2203
- Practice address
- 50 West Montgomery Ave
#110
Rockville, MD 20850 - Phone
- (301) 251-8965
- Fax
- (301) 251-0136
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC2203 | MD | Primary |
Addresses
Primary practice location
50 West Montgomery Ave
#110
Rockville, MD 20850
Mailing address
10989 Shadow Lane
Columbia, MD 21044
Phone (410) 997-2133
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC2203 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619990066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10989 SHADOW LANE",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "21044",
"telephone_number": "410-997-2133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 WEST MONTGOMERY AVE",
"address_2": "#110",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "20850",
"telephone_number": "301-251-8965",
"fax_number": "301-251-0136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKSZAN",
"first_name": "KATHLEEN",
"middle_name": "VERONICA",
"name_prefix": "Mrs.",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC2203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.