Organization Active NPI

Footprints to Hope Counseling, LLC

  • Professional Counselor
  • Cresaptown, MD
National Provider Identifier
1669084687
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
FOOTPRINTS TO HOPE COUNSELING, LLC
Practice address
15820 McMullen Hwy SW Unit a
Cresaptown, MD 21502-6282
Phone
(301) 697-4222
Fax
(410) 885-4532
NPI assigned
Aug 20, 2020
Last updated
Mar 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Authorized official

Name
Laura Wilson, LCPC
Title
Owner
Phone
(240) 522-0885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

15820 McMullen Hwy SW Unit a
Cresaptown, MD 21502-6282

Mailing address

15820 McMullen Hwy SW Unit a
Cresaptown, MD 21502-6282
Phone (301) 697-4222

Other identifiers 1

IdentifierTypeStateIssuer
064578800MedicaidMD

National Provider Directory

National Provider Directory

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": "1597881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1669084687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15820 MCMULLEN HWY SW UNIT A",
            "city": "CRESAPTOWN",
            "state": "MD",
            "postal_code": "215026282",
            "telephone_number": "301-697-4222",
            "fax_number": "410-885-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15820 MCMULLEN HWY SW UNIT A",
            "city": "CRESAPTOWN",
            "state": "MD",
            "postal_code": "215026282",
            "telephone_number": "301-697-4222",
            "fax_number": "410-885-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTPRINTS TO HOPE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-20",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-522-0885",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064578800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cresaptown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.