Active NPI
James Tobin
- Professional Counselor
- Fulton, MD
National Provider Identifier
1659977569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC7418
- Practice address
- 11401 Iager Blvd
Fulton, MD 20759-2508 - Phone
- (443) 414-1966
- NPI assigned
- Dec 7, 2020
- 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 | LC7418 | MD | Primary |
Addresses
Primary practice location
11401 Iager Blvd
Fulton, MD 20759-2508
Mailing address
11401 Iager Blvd
Fulton, MD 20759-2508
Phone (443) 414-1966
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 |
|---|---|---|---|
| LC7418 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607299200000",
"number": "1659977569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11401 IAGER BLVD",
"city": "FULTON",
"state": "MD",
"postal_code": "207592508",
"telephone_number": "443-414-1966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11401 IAGER BLVD",
"city": "FULTON",
"state": "MD",
"postal_code": "207592508",
"telephone_number": "443-414-1966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOBIN",
"first_name": "JAMES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-07",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC7418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fulton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.