NPIMap

Organization Active NPI

Kerkvliet Counseling Associaites

  • Professional Counselor
  • Cockeysville, MD
National Provider Identifier
1649601139
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC4447 Issued in MD
Legal business name
KERKVLIET COUNSELING ASSOCIAITES
Practice address
76 Cranbrook Rd # 128
Cockeysville, MD 21030-3404
Phone
(410) 627-2372
Fax
(410) 667-3852
NPI assigned
Dec 9, 2013
Last updated
Dec 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

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

Authorized official

Name
Ms. Janet Glover-Kerkvliet, LCPCNPI 1619107000
Title
Owner
Phone
(410) 627-2372

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LC4447 MD Primary

Addresses

Primary practice location

76 Cranbrook Rd # 128
Cockeysville, MD 21030-3404

Mailing address

76 Cranbrook Rd # 128
Cockeysville, MD 21030-3404
Phone (410) 627-2372

National Provider Directory

National Provider Directory

Locations

76 Cranbrook Rd
#128
Cockeysville, MD 21030
Phone (410) 627-2372

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1649601139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 CRANBROOK RD # 128",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210303404",
            "telephone_number": "410-627-2372",
            "fax_number": "410-667-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 CRANBROOK RD # 128",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210303404",
            "telephone_number": "410-627-2372",
            "fax_number": "410-667-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERKVLIET COUNSELING ASSOCIAITES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "GLOVER-KERKVLIET",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-627-2372",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC4447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cockeysville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.