Active NPI
Tina M Baublitz, LCPC
- Professional Counselor
- Marriottsville, MD
National Provider Identifier
1699014357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC4865
- Practice address
- 11155 Stratfield CT
Marriottsville, MD 21104-1650 - Phone
- (410) 970-2328
- NPI assigned
- Jan 31, 2013
- 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 | LC4865 | MD | Primary |
Addresses
Primary practice location
11155 Stratfield CT
Marriottsville, MD 21104-1650
Mailing address
11155 Stratfield Court
Marriottsville, MD 21104
Phone (410) 970-2328
Other practice location 1
603 Old Liberty Rd
Suite 1
Sykesville, MD 21784-8550
Phone (410) 245-4225
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 |
|---|---|---|---|
| LC4865 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Light of Hope Counseling, LLC | Professional | Current | Accepting new patients |
Locations
11155 Stratfield Ct
Marriottsville, MD 21104
Phone (410) 487-9477
603 Old Liberty Rd
#1
Sykesville, MD 21784
Phone (410) 245-4225
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": "1359590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1699014357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11155 STRATFIELD COURT",
"city": "MARRIOTTSVILLE",
"state": "MD",
"postal_code": "21104",
"telephone_number": "410-970-2328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11155 STRATFIELD CT",
"city": "MARRIOTTSVILLE",
"state": "MD",
"postal_code": "211041650",
"telephone_number": "410-970-2328"
}
],
"practiceLocations": [
{
"address_1": "603 Old Liberty Rd",
"address_2": "Suite 1",
"address_purpose": "LOCATION",
"city": "Sykesville",
"state": "MD",
"postal_code": "217848550",
"country_code": "US",
"telephone_number": "410-245-4225",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAUBLITZ",
"first_name": "TINA",
"middle_name": "M",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-31",
"last_updated": "2022-07-21",
"certification_date": "2020-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC4865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marriottsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.