Active NPI
Christian Paulisich
- Mental Health Counselor
- Towson, MD
National Provider Identifier
1629955083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LGP16883
- Practice address
- 1122 Kenilworth Dr Ste 211
Towson, MD 21204-2143 - Phone
- (443) 921-2929
- NPI assigned
- Aug 18, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LGP16883 | MD | Primary |
Addresses
Primary practice location
1122 Kenilworth Dr Ste 211
Towson, MD 21204-2143
Mailing address
299 Winterberry LN
Westminster, MD 21157-6641
Phone (510) 852-2949
Other practice location 1
904 Washington Rd Ste D
Westminster, MD 21157-5838
Phone (443) 536-3239
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 |
|---|---|---|---|
| LGP16883 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755475200000",
"number": "1629955083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "299 WINTERBERRY LN",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "211576641",
"telephone_number": "510-852-2949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1122 KENILWORTH DR STE 211",
"city": "TOWSON",
"state": "MD",
"postal_code": "212042143",
"telephone_number": "443-921-2929"
}
],
"practiceLocations": [
{
"address_1": "904 Washington Rd Ste D",
"address_purpose": "LOCATION",
"city": "Westminster",
"state": "MD",
"postal_code": "211575838",
"country_code": "US",
"telephone_number": "443-536-3239",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAULISICH",
"first_name": "CHRISTIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-18",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LGP16883",
"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 Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.