Active NPI
Mark Whitaker
- Professional Counselor
- Towson, MD
National Provider Identifier
1629632716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LGP8418
- Practice address
- 8501 Lasalle Road
Suite 115
Towson, MD 21286 - Phone
- (410) 337-7772
- NPI assigned
- Apr 24, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | LGP8418 | MD | Primary |
Addresses
Primary practice location
8501 Lasalle Road
Suite 115
Towson, MD 21286
Mailing address
505 Cedarcroft Rd
Baltimore, MD 21212-2702
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 |
|---|---|---|---|
| LGP8418 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556064000000",
"number": "1629632716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 CEDARCROFT RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212122702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8501 LASALLE ROAD",
"address_2": "SUITE 115",
"city": "TOWSON",
"state": "MD",
"postal_code": "21286",
"telephone_number": "410-337-7772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITAKER",
"first_name": "MARK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-24",
"last_updated": "2019-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LGP8418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.