Individual provider Active NPI

Kublai K. Duhart, LCPC

  • Professional Counselor
  • Owings Mills, MD
National Provider Identifier
1689109589
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC7094 Issued in MD
Practice address
10989 Red Run Blvd Ste 202
Owings Mills, MD 21117-3285
Phone
(443) 738-4724
NPI assigned
Apr 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC7094 MD Primary

Addresses

Primary practice location

10989 Red Run Blvd Ste 202
Owings Mills, MD 21117-3285

Mailing address

PO Box 1167
Owings Mills, MD 21117-1114
Phone (443) 738-4724

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

LicenseStateTypeSpecialty
LC7094MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Illuminated Paradigm Counseling and Healing, LLC Professional 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": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1689109589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1167",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211171114",
            "telephone_number": "443-738-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10989 RED RUN BLVD STE 202",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173285",
            "telephone_number": "443-738-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUHART",
        "first_name": "KUBLAI",
        "middle_name": "K.",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-27",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC7094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.