Individual provider Active NPI

Tina M Baublitz, LCPC

  • Professional Counselor
  • Marriottsville, MD
National Provider Identifier
1699014357
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC4865 Issued in MD
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

Updated by the provider on Jul 21, 2022

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 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

LicenseStateTypeSpecialty
LC4865MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Light of Hope Counseling, LLC Professional CurrentSince Jul 24, 2022 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.

Verify at the official NPI Registry.