Active NPI
Kathleen M Douglass, M.A., LCPC
- Professional Counselor
- Columbia, MD
National Provider Identifier
1679761290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC2341
- Practice address
- 5560 Sterrett PL
Suite 201
Columbia, MD 21044-2601 - Phone
- (410) 955-5555
- Fax
- (410) 995-5556
- NPI assigned
- Oct 9, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC2341 | MD | Primary |
Addresses
Primary practice location
5560 Sterrett PL
Suite 201
Columbia, MD 21044-2601
Mailing address
5325 Columbia Rd
Apt. L
Columbia, MD 21044-5518
Phone (301) 821-6931
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC2341 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191888000000",
"number": "1679761290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5325 COLUMBIA RD",
"address_2": "APT. L",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210445518",
"telephone_number": "301-821-6931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5560 STERRETT PL",
"address_2": "SUITE 201",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210442601",
"telephone_number": "410-955-5555",
"fax_number": "410-995-5556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGLASS",
"first_name": "KATHLEEN",
"middle_name": "M",
"credential": "M.A., LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-09",
"last_updated": "2007-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC2341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.