Active NPI
Tashica Monique Halyard, LCPC
- Mental Health Counselor
- Baltimore, MD
National Provider Identifier
1669931226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LC10959
- Practice address
- 2415 Maryland Ave
Baltimore, MD 21218-5017 - Phone
- (281) 417-8427
- NPI assigned
- Mar 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | AC3123 | MD | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 44846 | TX | |
| Professional Counselor | 101YP2500X | 87418 | TX | |
| Professional Counselor | 101YP2500X | 6401222375 | MI | |
| Mental Health Counselor | 101YM0800X | LC10959 | MD | Primary |
Addresses
Primary practice location
2415 Maryland Ave
Baltimore, MD 21218-5017
Mailing address
2415 Maryland Ave
Baltimore, MD 21218-5017
Phone (281) 508-3604
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 |
|---|---|---|---|
| AC3123 | MD | MD | Addiction (Substance Use Disorder) Counselor |
| 44846 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| LC10959 | MD | MD | Mental Health Counselor |
| 6401222375 | MI | MD | Professional Counselor |
| 87418 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713484800000",
"number": "1669931226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2415 MARYLAND AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212185017",
"telephone_number": "281-508-3604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 MARYLAND AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212185017",
"telephone_number": "281-417-8427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALYARD",
"first_name": "TASHICA",
"middle_name": "MONIQUE",
"name_prefix": "Miss",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-13",
"last_updated": "2024-04-19",
"certification_date": "2024-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MD",
"license": "AC3123",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "44846",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "87418",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401222375",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LC10959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.