Individual provider Active NPI

Carol Kelly Stewart, LGPC

  • Counselor
  • Glen Burnie, MD
National Provider Identifier
1649735754
Registry record updated Feb 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LGP5603 Issued in MD
Practice address
946 Nabbs Creek Rd
Glen Burnie, MD 21060-8434
Phone
(410) 890-4600
NPI assigned
Feb 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LGP5603 MD Primary

Addresses

Primary practice location

946 Nabbs Creek Rd
Glen Burnie, MD 21060-8434

Mailing address

3 Spa Creek LNDG Unit B2
Annapolis, MD 21403-4232
Phone (703) 927-9249

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Aug 8, 2025 through Aug 8, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LGP5603MDMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Christian Counseling Counselor Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1549065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549065600000",
    "number": "1649735754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SPA CREEK LNDG UNIT B2",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214034232",
            "telephone_number": "703-927-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 NABBS CREEK RD",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210608434",
            "telephone_number": "410-890-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "CAROL",
        "middle_name": "KELLY",
        "credential": "LGPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-02",
        "last_updated": "2019-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LGP5603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.